Organization
GLOBAL FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GASTON O. PEREZ M.D. F.A.A.F.P. (PRESIDENT)
(843) 815-6468
Entity
Organization
Contact information
Practice address
14 OAK FOREST RD, STE D, BLUFFTON, SC 29910-4988
(843) 815-6468
(834) 815-6492
Mailing address
14 OAK FOREST RD, SUITE D, BLUFFTON, SC 29910-4988
(843) 815-6468
(834) 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
—
178104
—
SC
01
—
7123
MEDICARE PTAN
SC
Enumeration date
08/29/2006
Last updated
05/24/2012
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