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Individual

KRISTOFF REWI REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2012-00698
NC
207X00000X
Orthopaedic Surgery Physician
22138
MD
207X00000X
Orthopaedic Surgery Physician
36192
SC
207XX0801X
Orthopaedic Trauma Physician
Primary
36192
SC

Other

Enumeration date
07/13/2007
Last updated
07/01/2016
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