Individual
DR. GONZALO F PARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
243 E BLACKSTOCK RD STE 6, SPARTANBURG, SC 29301-2653
(864) 574-8925
(864) 574-8922
Mailing address
PO BOX 170158, SPARTANBURG, SC 29301-0022
(864) 574-8925
(864) 574-8922
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17884
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00137245
RAILROAD MEDICARE
—
05
—
T19432
—
SC
Enumeration date
06/19/2007
Last updated
04/26/2012
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