Individual
DOUGLAS RIETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 BOILING SPRINGS RD STE 2500, SPARTANBURG, SC 29303-4214
(864) 585-5433
(864) 591-4053
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17565
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110211223
RR MEDICARE
SC
05
—
175651
—
SC
01
—
P01506080
RAILROAD MEDICARE
SC
Enumeration date
02/28/2006
Last updated
12/10/2020
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