Individual
RICHARD EMIL MORETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 S PINE ST, SPARTANBURG, SC 29302-2622
(864) 591-1664
(864) 577-0620
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6174
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9068
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576007863153
BCBS OF SC
SC
05
—
90680
—
SC
01
—
P00676412
RR MEDICARE
SC
Enumeration date
05/23/2006
Last updated
11/21/2018
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