| 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 |
|---|---|
| Provider Enumeration Date | 03/10/2018 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 0648533836 |
|---|---|
| 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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