Individual
DR. SAMUEL D REID JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E WOOD ST, STE. 401, SPARTANBURG, SC 29303-3004
(864) 560-6851
(864) 560-7312
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5099
SC
207RC0000X
Cardiovascular Disease Physician
5099
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050991
—
SC
01
—
29789
MEDCOST
SC
01
—
4275339
AETNA
SC
05
—
8906527
—
NC
Enumeration date
01/27/2006
Last updated
12/09/2020
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