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Individual

ROBERTO JOSE PEREYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
475 HEYWOOD AVE, SPARTANBURG, SC 29307
(864) 699-5020
(864) 699-5050
Mailing address
475 HEYWOOD AVE, SPARTANBURG, SC 29307-1726
(864) 699-5020
(864) 699-5050

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
26056
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260568
SC
01
AA08723365
MEDICARE PIN
SC
01
AA08724710
MEDICARE PIN
SC
Enumeration date
05/27/2006
Last updated
12/02/2020
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