Individual
NETTIE REATIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2638 TWO NOTCH RD STE 116, COLUMBIA, SC 29204-1454
(803) 281-0013
Mailing address
2638 TWO NOTCH RD STE 116, COLUMBIA, SC 29204-1454
(803) 281-0013
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/08/2025
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