Individual
DR. GANESHA B. PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4040 HIGHWAY 17 UNIT 306, MURRELLS INLET, SC 29576-5098
(843) 792-1414
Mailing address
PO BOX 1524, AUGUSTA, GA 30903-1524
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
060964
GA
2086S0129X
Vascular Surgery Physician
Primary
31463
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029
TRICARE
SC
01
—
067
BLUE CHOICE
SC
01
—
224310
MEDCOST
SC
01
—
AA46098552
MEDICARE PTAN
SC
05
—
G60964
—
SC
Enumeration date
11/15/2006
Last updated
10/17/2025
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