Individual
DR. GREGORY LAWTON EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
137 MIRACLE DR, AIKEN, SC 29801-6351
(803) 641-4874
(803) 641-0436
Mailing address
367 S. GULPH RD, ATT: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 641-4874
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18256
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182563
—
SC
Enumeration date
10/21/2006
Last updated
03/07/2019
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