Provider Demographics
NPI:1801419056
Name:RINER, DEBORAH LILLIAN (CHT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LILLIAN
Last Name:RINER
Suffix:
Gender:F
Credentials:CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-6731
Mailing Address - Country:US
Mailing Address - Phone:912-261-8906
Mailing Address - Fax:912-261-8906
Practice Address - Street 1:1608 REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-6731
Practice Address - Country:US
Practice Address - Phone:912-261-8906
Practice Address - Fax:912-261-8906
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-22
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty