NPI 1124990957

Reggie Richardson

Practitioner Contractor Irmo, SC

Practice location

Address: 105 Foxglove Ln, Irmo, SC 29063-8394
Phone: (839) 205-6084

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in South Carolina →

Registry record

NPI: 1124990957
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2025
Record last updated: 22 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.