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DR. EUSTACE DAVID RILEY MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1639163058

Individual Registrant:
DR. EUSTACE DAVID RILEY MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3410 COKESBURY RD  HODGES, SC 29653-9181 US
Tel: 864-227-2099  Fax: 864-227-1779

Contact information for business:
3410 COKESBURY RD  HODGES, SC 29653-9181 US
Tel: 864-227-2099  Fax: 864-227-1779

Registration Information:
NPI: 1639163058
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
SC16253

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
L13901SC05




HEALTH CARE JOBS SC - Page 1



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