Individual
DR. PETER ARNOLD SEREQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 560-7002
(864) 560-6009
Mailing address
248 LAKE FOREST DR, SPARTANBURG, SC 29307-3753
(864) 541-4957
(864) 560-6009
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
07180
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007180
—
SC
Enumeration date
04/03/2006
Last updated
02/23/2011
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