Individual
TONYA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
724 HYATT ST, GAFFNEY, SC 29341-2630
(864) 488-3980
(864) 488-3998
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
91983
SC
363LF0000X
Family Nurse Practitioner
Primary
19619
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3315
—
SC
01
—
SC64393365
MEDICARE PIN
SC
Enumeration date
06/15/2015
Last updated
12/09/2020
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