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DR. EUSTACE DAVID RILEY MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1639163058
Individual Registrant:DR. EUSTACE DAVID RILEY MD
Gender: M
Not Sole Proprietor
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
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
Tel: 864-227-2099 Fax: 864-227-1779
Registration Information:
NPI: 1639163058
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | SC | 16253 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| L13901 | SC | 05 |
