Individual
HOLBROOK WYMAN RAYNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.H.A.
Contact information
Practice address
210 S BROAD ST, CLINTON, SC 29325-2505
(864) 833-0973
(864) 833-9571
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8942
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089424
—
SC
Enumeration date
01/31/2006
Last updated
09/10/2013
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