Individual
BRADLEY DALE REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
890 W FARIS RD STE 580, GREENVILLE, SC 29605-4281
(864) 455-7874
(864) 455-8933
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6306
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
18226
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2374
—
SC
Enumeration date
04/03/2013
Last updated
11/07/2022
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