Witherspoon, Reginald
Witherspoon, Reginald is an sole proprietor health care provider with primary practice located at 3630 Travelers Ct , Snellville GA 30039-5692. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Witherspoon, Reginald can be contacted via phone (678) 790-8357.Contact Information
Primary practice address
3630 Travelers Ct
Snellville GA 30039-5692
Phone: (678) 790-8357
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT014760 | Georgia |
Profile Details
| NPI number | 1194582569 |
|---|---|
| LBN Legal business name | Witherspoon, Reginald |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2024 |
| Last updated | Mar 4th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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