Individual
DR. GAIL L REARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 S CHURCH ST STE 4, SPARTANBURG, SC 29306-3306
(864) 774-7001
Mailing address
PO BOX 740013, ATLANTA, GA 30374-0013
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
TL30258
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302586
—
SC
01
—
CF9180
GRP RAILROAD MEDICARE
SC
01
—
P00450327
RAILROAD MEDICARE
SC
01
—
P0079628
RAILROAD MC ID-RSFPN
SC
Enumeration date
03/30/2007
Last updated
07/11/2023
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