Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2206 | SC |
NPI | 1083671507 |
---|---|
Provider Name | Dr. William F Rinehart |
First Address | Georgetown, SC 29440-6407 |
Second Address | Georgetown, SC 29440-6407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ZA9864 | (05) | SC |