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Contact Information

JAMES T PEVELER JR, MD
200 PATEWOOD DR STE B350
GREENVILLE, SC29615-6337
 Phone: 864-454-4500
 Fax: 864-454-4505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for JAMES T PEVELER JR · (Male)

NPI Number 1265784409
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2012
Last updated 02/02/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME148047
  • SC License # 83078
  • FL Medicaid 109452200
  • SC Medicaid PENDING
  • FL Other NH108 FL MEDICARE
Hospital affiliation(s)
  • CAPE CANAVERAL HOSPITAL - (Acute Care)
    701 W COCOA BEACH CAUSEWAY
    COCOA BEACH, FL 32932
  • HOLMES REGIONAL MEDICAL CENTER - (Acute Care)
    1350 S HICKORY ST
    MELBOURNE, FL 32901
  • VIERA HOSPITAL - (Acute Care)
    8745 N WICKHAM RD
    MELBOURNE, FL 32940
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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