MR. COREY DE'SANTIS REAVES JR. SPECIALIST
NPI 1144934811
Specialist - Prosthetics Case Management in Myrtle Beach, SC

Active since January 09, 2023
1256 3RD AVE S, MYRTLE BEACH, SC 29577(843) 945-4546 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Corey De'santis Reaves Jr. Specialist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. COREY DE'SANTIS REAVES JR. SPECIALIST (NPI 1144934811) is an individual prosthetics case management provider in Myrtle Beach, South Carolina, licensed in South Carolina (6890) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1144934811
Entity TypeIndividualMale
Primary Taxonomy1744P3200X
Provider Legal NameMR. COREY DE'SANTIS REAVES JR.Credential: SPECIALIST
Location Address1256 3RD AVE SMyrtle Beach, SC 29577-5538
Mailing Address1256 3rd Ave SMyrtle Beach, SC 29577-5538 · (843) 945-4546
Sole ProprietorNo
Enumeration DateJanuary 9, 2023
NPPES CertifiedJanuary 9, 2023
NPI 1144934811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License Licensed in SC · 6890
Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

1256 3RD AVE S, Myrtle Beach, SC 29577

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1256 3RD AVE S
MYRTLE BEACH, SC 29577

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144934811, enumerated as an "individual" on January 09, 2023.

The provider is located at 1256 3RD AVE S MYRTLE BEACH, SC 29577 and the phone number is (843) 945-4546.

Specialist with taxonomy code 1744P3200X and a focus in Prosthetics Case Management.