Individual
JOHN ROBERT GANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1671 BELLE ISLE AVE STE 110, MOUNT PLEASANT, SC 29464-8336
(843) 284-6165
(843) 790-1820
Mailing address
636 LONG POINT RD UNIT G132, MOUNT PLEASANT, SC 29464-8286
(843) 284-6165
(843) 790-1820
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35866
SC
2084P0800X
Psychiatry Physician
MD35866
SC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35866
SC
Other
Enumeration date
06/14/2013
Last updated
10/04/2022
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