Individual
DR. TERRY J REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-7963
(843) 314-1314
(843) 314-1306
Mailing address
64 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-7963
(843) 314-1314
(843) 314-1308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21368
SC
207R00000X
Internal Medicine Physician
L022746
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1492744
—
LA
Enumeration date
06/13/2005
Last updated
03/07/2023
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