# TERRY REARDON MD, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609379114
- **Authorized official:** DR. TERRY JOE REARDON MD (PRESIDENT)
- **Authorized official phone:** (843) 360-1285

## Contact information

- **Practice address:** 600 N AZALEA DR STE 104, SURFSIDE BEACH, SC 29575-5020
- **Practice address phone:** (843) 360-2776
- **Practice address fax:** (877) 905-5374
- **Mailing address:** 600 N AZALEA DR STE 104, SURFSIDE BEACH, SC 29575-5020
- **Mailing address phone:** (843) 360-2776
- **Mailing address fax:** (877) 905-5374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 21368 | SC | Yes |

## Other

- **Enumeration date:** 03/10/2018
- **Last updated:** 03/17/2018