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Individual

DR. JANE W RIESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1655 E GREENVILLE ST, ANDERSON, SC 29621-2062
(864) 716-7750
(864) 716-7769
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 716-7750

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
14211
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TL3092
SC
Enumeration date
07/23/2006
Last updated
08/11/2020
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