Most Relevant Information
Provider Data
| NPI Number: | 1003238734 |
| Provider Name: | ERICA LYNN ANN REITER SFIDC |
| Entity Type: | Individual |
| Taxonomy Code: | 1710I1002X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/15/2014 |
| Last Updated: | 04/27/2020 |
Provider Practice Location
803 OLEANDER ST
JACKSONVILLE
NC
28540
Practice Location Phone/Fax
| Phone: | 6196108437 |
| Fax: |
Provider Mailing Location
803 OLEANDER ST
JACKSONVILLE
NC
28540
Provider Mailing Phone/Fax
| Phone: | 6196108437 |
| Fax: |