Individual
BEVERLY ANN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
335 PLEASANT POINT DR, BEAUFORT, SC 29907-1164
(843) 757-1173
(866) 527-0937
Mailing address
PO BOX 84068, SENIOR HEALTH ASSOCIATES, LEXINGTON, SC 29073
(843) 757-1173
(866) 527-0937
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18184
SC
363LA2200X
Adult Health Nurse Practitioner
4704231115
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2334
—
SC
Enumeration date
10/12/2007
Last updated
07/15/2013
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