Individual
BURT REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 WOODRUFF RD, GREENVILLE, SC 29607-5730
(864) 527-0441
Mailing address
1200 WOODRUFF RD, GREENVILLE, SC 29607-5730
(864) 527-0441
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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