Individual
SHIRLEY TERESA REESE X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
730 W FIVE NOTCH RD, NORTH AUGUSTA, SC 29860-9364
(803) 634-3616
Mailing address
730 W FIVE NOTCH RD, NORTH AUGUSTA, SC 29860-9364
(803) 634-3616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27129
SC
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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