Individual
ROY A MAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4501 OLD SPARTANBURG RD, SUITE 9, TAYLORS, SC 29687-4105
(864) 292-8868
(864) 331-0992
Mailing address
4501 OLD SPARTANBURG RD, SUITE 9, TAYLORS, SC 29687-4105
(864) 292-8868
(864) 331-0992
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25550
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255501
—
SC
Enumeration date
03/22/2006
Last updated
07/09/2007
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