NPI 1144057266
Burt Reynolds
Practice location
- Address
- 1200 Woodruff Rd, Greenville, SC 29607-5730
- Phone
- (864) 527-0441
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1144057266
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Sep 2024
- Record last updated
- 14 Sep 2024
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.