Individual
PATRICIA E REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
739 FOUNTAIN LAKE RD, COLUMBIA, SC 29209-5712
(803) 673-9561
Mailing address
739 FOUNTAIN LAKE RD, COLUMBIA, SC 29209-5712
(803) 673-9561
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EA3819
—
SC
01
—
EXG300
CLTC
SC
Enumeration date
02/25/2018
Last updated
02/25/2018
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