Individual
ROLLO P VILLAREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 EPTING AVE, GREENWOOD, SC 29646-4041
(864) 227-6818
(864) 227-0850
Mailing address
421 EPTING AVE, GREENWOOD, SC 29646-4041
(864) 227-6818
(864) 227-0850
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
23754
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
23754
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T79233
—
SC
Enumeration date
08/18/2005
Last updated
12/14/2021
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