Individual
WILLIAM A RIECK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
604 MEDICAL DR, GREENVILLE, NC 27834-7503
(252) 744-6683
(252) 744-9617
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OT017879
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2022-01128
NC
208100000X
Physical Medicine & Rehabilitation Physician
OT017879
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
OT17879
PA
Other
Enumeration date
06/22/2017
Last updated
03/01/2024
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