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Individual

RICHARD BENNETT REINHARDT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1330 BOILING SPRINGS RD STE 2300, SPARTANBURG, SC 29303
(864) 585-6491
(864) 585-1368
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18910
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
189102
SC
01
53983
MEDCOST
SC
01
7984239
AETNA
SC
05
89064FR
NC
01
H167107628
MEDICARE PIN
SC
Enumeration date
04/10/2006
Last updated
12/10/2020
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