Individual provider · Type 1 NPI

Gregory Louis Beres, PA-C

Medical Physician Assistant · North Charleston, SC

NPI number 1306831383 Active

Practice location

2880 Tricom St
North Charleston, SC 29406-9171

Call (843) 797-5050 Map

Fax (843) 797-3633

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X101514 (NC)
Medical Physician Assistant Primary 363AM0700X4073 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1306831383

Gregory Louis Beres, PA-C's National Provider Identifier is 1306831383, issued on Sep 15, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in North Charleston, SC. The record was last updated on Jul 27, 2022.