Individual
DR. GASTON O. PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. F.A.A.F.P.
Contact information
Practice address
14 OAK FOREST RD, SUITE D, BLUFFTON, SC 29910-4988
(843) 815-6468
(843) 815-6492
Mailing address
14 OAK FOREST RD, SUITE D, BLUFFTON, SC 29910-4988
(843) 815-6468
(843) 815-6492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17810
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17814
—
SC
Enumeration date
08/30/2006
Last updated
10/10/2007
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