Individual
DR. ROGER DEPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
853 N CHURCH ST, SUITE 510, SPARTANBURG, SC 29303-3098
(864) 560-6193
(864) 560-1510
Mailing address
727 BRIMSTONE LN, SPARTANBURG, SC 29301-5040
(864) 587-1886
(864) 587-1886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL 29091
SC
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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