Individual
PETER STEVE MAURIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACP
Contact information
Practice address
1025 VERDAE BLVD, SUITE A, GREENVILLE, SC 29607-4032
(864) 242-4683
(864) 240-8104
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13939
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110179743
RR MEDICARE
SC
05
—
139399
—
SC
Enumeration date
12/14/2005
Last updated
12/21/2023
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