T J Reardon MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

T J REARDON MD LLC

Practice address

671 Jamestown Dr
Ste 202a
Murrells Inlet, SC 29576-7507

Phone

(864) 237-1184

NPI assigned

Jul 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terry Joe Reardon, M.D.

Title

Member

Phone

(864) 237-1184

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1235514225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 JAMESTOWN DR",
            "address_2": "STE 202A",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767507",
            "telephone_number": "864-237-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 JAMESTOWN DR",
            "address_2": "STE 202A",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767507",
            "telephone_number": "864-237-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T J REARDON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-237-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.