Individual
PAMELA JEAN REITNAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-8060
(336) 832-7893
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-8060
(336) 832-7893
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
36251
NC
207SG0205X
Ph.D. Medical Genetics Physician
36251
NC
208000000X
Pediatrics Physician
Primary
36251
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36251
NC LICENSE
NC
05
—
8971218
—
NC
Enumeration date
06/13/2005
Last updated
03/07/2023
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