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Individual
EDNA A REID
Active
Individual
EDNA A REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN26453
GA
163WG0000X
General Practice Registered Nurse
RN26453
GA
363L00000X
Nurse Practitioner
Primary
F07220753
GA
Other
Enumeration date
07/18/2022
Last updated
04/09/2023
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