Individual
AVIA LATRELLE REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1301 TAYLOR ST STE 8A, COLUMBIA, SC 29201
(803) 929-2955
Mailing address
1301 TAYLOR ST STE 8A, COLUMBIA, SC 29201-2955
(803) 929-2955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23110
SC
Other
Enumeration date
07/31/2019
Last updated
10/28/2019
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