Individual
PETE ADAM ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1655 E GREENVILLE ST, ANDERSON, SC 29621-2062
(864) 512-6041
Mailing address
2514 ELBERTON HWY, IVA, SC 29655-9322
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
31587
SC
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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