Reardon, Terry J

Reardon, Terry J is an individual health care provider with primary practice located at 64 Business Center Dr , Pawleys Island SC 29585-7963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reardon, Terry J can be contacted via phone (843) 314-1314.

Contact Information

Primary practice address
64 Business Center Dr Pawleys Island SC 29585-7963
Phone: (843) 314-1314
Fax: (843) 314-1306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L022746 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21368 South Carolina

Profile Details

NPI number 1518961028
LBN Legal business name Reardon, Terry J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 7th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518961028 NPPES
Louisiana MEDICAID 1492744

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