Burt Reynolds
NPI #1144057266 in Greenville, South Carolina
Provider Information
- NPI Number
- 1144057266
- Entity Type
- Individual
- Name
- Burt Reynolds
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Sep 14, 2024
- Last Updated
- Sep 14, 2024
Practice Location
- Address
- 1200 WOODRUFF RD
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29607-5730
- Phone
- (864) 527-0441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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