Individual
DR. JAMES THOROLF PEVELER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR STE B350, GREENVILLE, SC 29615-6337
(864) 454-4500
(864) 454-4505
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
83078
SC
2084N0400X
Neurology Physician
ME148047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109452200
—
FL
01
—
NH108
FL MEDICARE
FL
05
—
PENDING
—
SC
Enumeration date
10/11/2012
Last updated
02/02/2023
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