Patty Johnson Reis CRNA

NPI 1043458946 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1043458946
Gender Female
Enumeration Date 01/30/2009
Last Updated 06/30/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
300 SINGLETON RIDGE RD
CONWAY SC, 29526-9142, US
Phone (843) 347-7111
Fax
Business Location
2017 LEES LANDING CIR
CONWAY SC, 29526-8046, US
Phone (843) 234-1064
Fax
Toxanomy
Taxonomy Code 367500000X
License State South Carolina
License Number 3783
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According to our database, Mrs. Patty Johnson Reis CRNA NPI is 1043458946, taxonomy code is 367500000X and license number is 3783, license state is located at South Carolina. Patty Johnson Reis CRNA physically located at 300 Singleton Ridge Rd, Conway SC, 29526-9142. NPI Number Patty Johnson Reis CRNA has the Individual type.

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1043458946 NPI number is provided on an as is basis without warranty of any kind. 1043458946 is maintained by the National Plan & Provider Enumeration System. The contents of Patty Johnson Reis CRNA are for informational purposes only.