SearchMaryland103TC0700X

Reginald Nettles, PHD

NPI 1639342348 · on the registry since 2008 · sole proprietor

Practice

Address
6217 Ironwood Way
Columbia, MD 21045
Phone
(410) 290-7999
Fax
(443) 583-2353

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-02

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 Maryland