Individual
DR. JANESSA M. PEREZ-MOTLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12016 N RADIO STATION RD, SENECA, SC 29678-1143
(864) 882-6141
(864) 882-6680
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
302544
LA
207Q00000X
Family Medicine Physician
Primary
40208
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402086
—
SC
01
—
SCA5254722
MEDICARE
SC
Enumeration date
04/17/2013
Last updated
02/27/2024
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