Individual
MR. COREY DE'SANTIS REAVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPECIALIST
Contact information
Practice address
1256 3RD AVE S, MYRTLE BEACH, SC 29577-5538
(843) 945-4546
Mailing address
1256 3RD AVE S, MYRTLE BEACH, SC 29577-5538
(843) 945-4546
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
6890
SC
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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