MEDICARE: BRIANNA PARKER REAMER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0110005558	VA

General Provider Information

NPI Number	:	1740732064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA PARKER REAMER PA

Provider Business Mailing Address
First Line	:	2746 BOILING SPRINGS RD
Second Line	:
City	:	BOILING SPRINGS
State	:	SC
Zip	:	29316-6003
Country	:	US
Telephone Number	:	864-888-7275
Fax Number	:

Provider Business Practice Location Address
First Line	:	2746 BOILING SPRINGS RD
Second Line	:
City	:	BOILING SPRINGS
State	:	SC
Zip	:	29316-6003
Country	:	US
Telephone Number	:	864-586-3923
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2016
Last Update Date	:	10/02/2019

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