Raynal, Holbrook Wyman
Raynal, Holbrook Wyman is an individual health care provider with primary practice located at 210 S Broad St , Clinton SC 29325-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Raynal, Holbrook Wyman can be contacted via phone (864) 833-0973.Contact Information
Primary practice address
210 S Broad St
Clinton SC 29325-2505
Phone: (864) 833-0973
Fax: (864) 833-9571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8942 | South Carolina |
Profile Details
| NPI number | 1124099874 |
|---|---|
| LBN Legal business name | Raynal, Holbrook Wyman |
| Credentials | M.D., D.H.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Sep 10th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124099874 | NPPES |
| South Carolina | MEDICAID | 089424 |
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