SearchSouth Carolina156FX1800X

Tina Reidy

NPI 1225800196 · on the registry since 2023 · sole proprietor

Practice

Address
1021 Oak Forest Ln
Myrtle Beach, SC 29577
Phone
(774) 930-0260
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina