Organization
PRIMEDOC OF SENECA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J REYNOLDS MD (PRESIDENT)
(828) 210-3260
Entity
Organization
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 601862, CHARLOTTE, NC 28260-1862
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4585
—
SC
Enumeration date
11/17/2006
Last updated
03/17/2009
Update your record
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