Individual
DR. BRUCE EDWIN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 ERNEST W BARRETT PKWY NW, SUITE 297, KENNESAW, GA 30144-4917
(770) 421-1734
Mailing address
400 ERNEST W BARRETT PKWY NW, SUITE 297, KENNESAW, GA 30144-4917
(770) 421-1734
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1114T
GA
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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