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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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