Oliver, Gerald D

Oliver, Gerald D is an individual health care provider with primary practice located at 1055A Silver Bluff Rd , Aiken SC 29803-5884. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Oliver, Gerald D can be contacted via phone (803) 648-3500.

Contact Information

Primary practice address
1055A Silver Bluff Rd Aiken SC 29803-5884
Fax: (803) 648-4200
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18511 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18511 South Carolina

Profile Details

NPI number 1578674479
LBN Legal business name Oliver, Gerald D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 17th, 2009 - about 15 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 1578674479 NPPES
South Carolina MEDICAID T24630

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