Individual
DR. EUSTACE DAVID RILEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 COKESBURY RD, HODGES, SC 29653-9181
(864) 227-2099
(864) 227-1779
Mailing address
3410 COKESBURY RD, HODGES, SC 29653-9181
(864) 227-2099
(864) 227-1779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16253
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L13901
—
SC
Enumeration date
08/31/2005
Last updated
12/14/2021
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