Individual
DEV GERALD VAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 W FARIS RD, STE B, GREENVILLE, SC 29605
(864) 455-6900
(864) 255-5619
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6174
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01053497A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
22763
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227631
—
SC
Enumeration date
09/27/2006
Last updated
07/05/2018
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