Doctor Name: | DR. JEFFREY REYNANTE |
NPI Number: | 1902086184 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 260791 |
Business Practice Address: | 391 Serpentine Dr Suite 400 Spartanburg, SC - 293033096 |
Business Phone Number: | 8645607517 |
Business Fax Number: | 8645607520 |
Mailing Address: | Po Box 2168, SPARTANBURG |
State: | SC |
Postal Code: | 293042168 |
Phone Number: | 8645604304 |
Fax Number: | 8645604413 |
NPI Enumeration Date: | 11/06/2007 |
NPI Last Update Date: | 07/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 260791 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |