Individual
ROBERT GERGES HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST STE 401, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24152
AL
207R00000X
Internal Medicine Physician
Primary
28812
SC
207R00000X
Internal Medicine Physician
39383
TN
207R00000X
Internal Medicine Physician
ME92754
FL
207R00000X
Internal Medicine Physician
TL28812
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192321
MEDCOST
SC
05
—
288129
—
SC
05
—
5905856
—
NC
01
—
7936430
AETNA
SC
05
—
HA009964930
—
AL
01
—
P00734661
RAIL ROAD MEDICARE
SC
Enumeration date
06/15/2005
Last updated
02/09/2023
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