Individual
DR. CHRISTOPHOR D REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-5615
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-2538
(601) 815-1854
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19986
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09136723
—
MS
05
—
179009
—
AL
01
—
P00955665
RAILROAD MEDICARE
MS
01
—
P01198274
RAILROAD MEDICARE PTAN
MS
Enumeration date
07/30/2007
Last updated
12/10/2015
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