Individual
DR. GARY D. RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E MAIN ST STE 12, SPARTANBURG, SC 29307-1738
(864) 560-9260
(864) 560-9265
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20737
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189215
MEDCOST
SC
01
—
20052006
HEALTH SELECT OF SC
SC
05
—
207378
—
SC
01
—
576000934-097
TRICARE
SC
01
—
7154054
AETNA ID
SC
05
—
89065F1
—
NC
01
—
G763118510
MEDICARE PIN
SC
01
—
SC02096067
MEDICARE PIN
SC
01
—
SC02096121
MEDICARE PIN
SC
01
—
SC0209J577
MEDICARE PIN
SC
Enumeration date
01/18/2006
Last updated
12/08/2020
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