Healthcare Provider Details

I. General information

NPI: 1518624337
Provider Name (Legal Business Name): MEREDITH L REITTINGER AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9291 MEDICAL PLAZA DR
NORTH CHARLESTON SC
29406-9126
US

IV. Provider business mailing address

9291 MEDICAL PLAZA DR
NORTH CHARLESTON SC
29406-9126
US

V. Phone/Fax

Practice location:
  • Phone: 843-764-1730
  • Fax:
Mailing address:
  • Phone: 843-764-1730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number31944
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: