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Individual

LISA A REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-C

Contact information

Practice address
204 PROFESSIONAL CT SE, STE. 400, CALHOUN, GA 30701-7020
(706) 625-5900
(678) 721-4675
Mailing address
204 PROFESSIONAL CT SE, CALHOUN, GA 30701-7020
(770) 546-5578
(806) 771-0305

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN149133 NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20030098
PEDIATRIC CERTIFICATION
GA
05
203000015B
GA
Enumeration date
08/10/2006
Last updated
08/04/2016
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