Individual
PHILIP RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 FRONTAGE RD, GREENVILLE, SC 29615-4240
(864) 242-4263
(864) 242-2250
Mailing address
300 E MCBEE AVE STE 401, GREENVILLE, SC 29601-2899
(864) 522-2286
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
3067
SC
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
3067
SC
363AS0400X
Surgical Physician Assistant
3067
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3844PA
—
SC
Enumeration date
09/09/2014
Last updated
12/22/2022
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