Individual
MR. GERALD D OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055A SILVER BLUFF RD, AIKEN, SC 29803-5884
(803) 648-3500
(803) 648-4200
Mailing address
1055A SILVER BLUFF RD, AIKEN, SC 29803-5884
(803) 648-3500
(803) 648-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18511
SC
208000000X
Pediatrics Physician
18511
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T24630
—
SC
Enumeration date
08/31/2006
Last updated
12/17/2009
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