Provider Demographics
NPI:1902826571
Name:PEYSER, ROBERT E (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:PEYSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1637 SAVANNAH HWY
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6282
Mailing Address - Country:US
Mailing Address - Phone:843-766-3768
Mailing Address - Fax:843-769-4200
Practice Address - Street 1:1637 SAVANNAH HWY
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6282
Practice Address - Country:US
Practice Address - Phone:843-766-3768
Practice Address - Fax:843-769-4200
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC113683207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCB923440281OtherPTAN
SC113683Medicaid
SCB923440281OtherPTAN