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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVEKEO SCOTT

Active Sole Proprietor

Case Manager · IRMO, SC

Registration Details

NPI Number
1326438565
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2015 (11.235684713294 yrs)
Last Updated
Jan 26, 2015
Sole Proprietor
Yes

Practice Information

Address
908 FRIARSGATE BLVD
IRMO, SC, 290632774
Browse SC providers · Browse ZIP 29063
Phone
8036090992
Fax
8034076416
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Hypnotherapist
Additional Specialty
Podiatric Surgery
Additional Specialty
Foot & Ankle Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.