Perez, Gaston O.

Perez, Gaston O. is an sole proprietor health care provider with primary practice located at 14 Oak Forest Rd Suite D, Bluffton SC 29910-4988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez, Gaston O. can be contacted via phone (843) 815-6468.

Contact Information

Primary practice address
14 Oak Forest Rd Suite D Bluffton SC 29910-4988
Phone: (843) 815-6468
Fax: (843) 815-6492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17810 South Carolina

Profile Details

NPI number 1629188586
LBN Legal business name Perez, Gaston O.
Credentials M.D. F.A.A.F.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Oct 10th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629188586 NPPES
South Carolina MEDICAID 17814

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