Organization
T J REARDON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY JOE REARDON M.D. (MEMBER)
(864) 237-1184
Entity
Organization
Contact information
Practice address
671 JAMESTOWN DR, STE 202A, MURRELLS INLET, SC 29576-7507
(864) 237-1184
Mailing address
671 JAMESTOWN DR, STE 202A, MURRELLS INLET, SC 29576-7507
(864) 237-1184
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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