Provider Demographics
NPI:1396340899
Name:RAYNOR, PATRICIA L P
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:L P
Last Name:RAYNOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 SAINT JAMES AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-3270
Mailing Address - Country:US
Mailing Address - Phone:843-879-1802
Mailing Address - Fax:
Practice Address - Street 1:221 SAINT JAMES AVE STE 3
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-3270
Practice Address - Country:US
Practice Address - Phone:843-879-1802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care