Individual
IAN SETH REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPO
Contact information
Practice address
303 PERIMETER CTR N STE 300, ATLANTA, GA 30346-3401
(678) 800-0125
Mailing address
303 PERIMETER CTR N STE 300, ATLANTA, GA 30346-3401
(678) 800-0125
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
167
GA
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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