Individual
MRS. KRISTY RUSHTON REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1300 SPRINGDALE RD, MAYO, SC 29368
(864) 461-2622
(864) 461-5102
Mailing address
PO BOX 130, MAYO, SC 29368-0130
(864) 461-2622
(864) 461-5102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
65049
SC
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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