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1013911494

NPI Code Detail

MEDICARE: PAMELA JEAN REITNAUER MD

MEDICARE: PAMELA JEAN REITNAUER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207SG0201X	Clinical Genetics (M.D.) Physician	36251	NC
2	207SG0205X	Ph.D. Medical Genetics Physician	36251	NC
3	208000000X	Pediatrics Physician	36251	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	36251	OTHER	NC	NC LICENSE

General Provider Information

NPI Number	:	1013911494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA JEAN REITNAUER MD

Provider Business Mailing Address
First Line	:	1200 N ELM ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1004
Country	:	US
Telephone Number	:	336-832-8060
Fax Number	:	336-832-7893

Provider Business Practice Location Address
First Line	:	1200 N ELM ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1004
Country	:	US
Telephone Number	:	336-832-8060
Fax Number	:	336-832-7893

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	03/07/2023

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Directions to “ PAMELA JEAN REITNAUER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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