Doctor Name: | JOHN A. ROPER |
NPI Number: | 1467670604 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | SC5277 |
Business Practice Address: | 210 South Oak Street Seneca, SC - 29678 |
Business Phone Number: | 8648824664 |
Business Fax Number: | 8648824478 |
Mailing Address: | 405 E Crescent Dr, SENECA |
State: | SC |
Postal Code: | 296784407 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | SC5277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |