Reggie Richardson
NPI #1124990957 in Irmo, South Carolina
Provider Information
- NPI Number
- 1124990957
- Entity Type
- Individual
- Name
- Reggie Richardson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Enumeration Date
- Sep 22, 2025
- Last Updated
- Sep 22, 2025
Practice Location
- Address
- 105 FOXGLOVE LN
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-8394
- Phone
- (839) 205-6084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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