Individual
ROBERT ALEXANDER BREVETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
727 SE MAIN ST STE 120, SIMPSONVILLE, SC 29681-3248
(864) 454-6700
(864) 454-6705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
36753
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367533
—
SC
Enumeration date
05/28/2008
Last updated
06/07/2021
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