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Individual

JIMMY D REED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
1340 N BRICKYARD RD APT 6221, COLUMBIA, SC 29223-8032

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1955
REGISTERED KINESIOTHERAPIST
Enumeration date
09/29/2016
Last updated
09/29/2016
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