Individual
REUBEN RYDER TIPTON, III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 MEDICAL CIR, MYRTLE BEACH, SC 29572-4114
(843) 449-6414
(843) 497-0357
Mailing address
900 MEDICAL CIR, MYRTLE BEACH, SC 29572-4114
(843) 449-6414
(843) 497-0357
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10124
SC
Other
Enumeration date
11/17/2006
Last updated
10/10/2007
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