Individual
ERIC STEPHEN PELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 OKATIE CENTER BLVD. S., SUITE 201, OKATIE, SC 29909-7507
(843) 706-3206
(843) 706-3226
Mailing address
4 OKATIE CENTER BLVD. S., SUITE 201, OKATIE, SC 29909-7507
(843) 706-3206
(843) 706-3226
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27029
SC
208000000X
Pediatrics Physician
SC27029
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27029
—
SC
05
—
3466
—
SC
Enumeration date
06/19/2007
Last updated
02/07/2012
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