GREGORY TYLER RIVES

CHARLESTON, SC
NPI1104485648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: LA  341799)
Additional Taxonomies208600000X Surgery
(Licence: SC  LL82795)
Enumeration Date2019-06-09
Last Update Date2024-07-03
Business Address
Dr. GREGORY TYLER RIVES MD
96 JONATHAN LUCAS ST CSB 423-A / MSC 613
CHARLESTON, SC 29425-0001
Phone number: 843-792-3072
Mailing Address
Dr. GREGORY TYLER RIVES MD
320 S UNIVERSITY AVE APT 3303
LITTLE ROCK, AR 72205-5239
Phone number: 870-415-7990