Terry Reardon Md, P.c. | |
600 N Azalea Dr Ste 104 Surfside Beach SC 29575-5020 | |
(843) 360-2776 | |
(877) 905-5374 |
Full Name | Terry Reardon Md, P.c. |
---|---|
Speciality | Internal Medicine |
Location | 600 N Azalea Dr Ste 104, Surfside Beach, South Carolina |
Authorized Official Name and Position | Terry Joe Reardon (PRESIDENT) |
Authorized Official Contact | 8433601285 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Terry Reardon Md, P.c. 600 N Azalea Dr Ste 104 Surfside Beach SC 29575-5020 Ph: (843) 360-2776 | Terry Reardon Md, P.c. 600 N Azalea Dr Ste 104 Surfside Beach SC 29575-5020 Ph: (843) 360-2776 |
NPI Number | 1609379114 |
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Provider Enumeration Date | 03/10/2018 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 0648533836 |
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Medicare Enrollment ID | O20180423001506 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609379114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21368 (South Carolina) | Primary |
Provider Name | Terry Joe Reardon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518961028 PECOS PAC ID: 5597666388 Enrollment ID: I20090708000655 |
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