Individual
GERARDO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31403-3089
(912) 350-8016
(912) 350-7221
Mailing address
PO BOX 931968, ATLANTA, GA 31193-1968
(912) 350-8016
(912) 350-7221
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
059179
GA
2080P0203X
Pediatric Critical Care Medicine Physician
2014-02124
NC
2080P0203X
Pediatric Critical Care Medicine Physician
H3835
TX
2080P0203X
Pediatric Critical Care Medicine Physician
MD2023-1175
NM
2080P0203X
Pediatric Critical Care Medicine Physician
ME123613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-091219
—
IL
05
—
315942089A
—
GA
05
—
G59179
—
SC
Enumeration date
06/12/2006
Last updated
06/13/2024
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