Individual
JEFFREY DONALD RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-4800
(803) 434-4878
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
29848
SC
2084P0800X
Psychiatry Physician
29848
SC
208M00000X
Hospitalist Physician
29848
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298485
—
SC
Enumeration date
05/21/2007
Last updated
11/11/2022
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