IndividualActive
Reggie Richardson
NPI 1124990957 · Contractor · Irmo, SC
Provider details
- NPI number
- 1124990957
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
105 Foxglove Ln
Irmo, SC 29063-8394
Phone: (839) 205-6084
Approximate (ZIP-level) locationGet directions
Mailing address
105 Foxglove Ln
Irmo, SC 29063-8394
Registry dates
- Enumerated
- 2025-09-22
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.