Individual
EVA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1004 EMANUEL ST, ELGIN, SC 29045-8335
(803) 438-7698
(803) 438-7563
Mailing address
PO BOX 1259, CAMDEN, SC 29021-1259
(803) 713-8350
(803) 713-8433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2886
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1243
—
SC
Enumeration date
11/09/2005
Last updated
02/24/2012
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