Individual
DR. ERIK LAWRENCE REIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 876-9792
Mailing address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
74766
TN
208000000X
Pediatrics Physician
Primary
74766
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2022
Last updated
06/22/2026
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