Provider Demographics
NPI:1164200812
Name:REED CARPENTRY
Entity Type:Organization
Organization Name:REED CARPENTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRISON
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-357-9701
Mailing Address - Street 1:511 SIERRA RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:SC
Mailing Address - Zip Code:29369-9383
Mailing Address - Country:US
Mailing Address - Phone:864-357-9701
Mailing Address - Fax:
Practice Address - Street 1:511 SIERRA RIDGE CT
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:SC
Practice Address - Zip Code:29369-9383
Practice Address - Country:US
Practice Address - Phone:864-357-9701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service