Individual
TAJ B REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3010 FARROW RD STE 300, COLUMBIA, SC 29203-7606
(803) 434-1210
(803) 434-1212
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1928
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1439
—
SC
Enumeration date
11/21/2006
Last updated
10/17/2022
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