Individual
DR. ANGELA B REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., P.C.
Contact information
Practice address
154 W TUGALO ST, TOCCOA, GA 30577-2360
(706) 886-1309
(706) 886-6132
Mailing address
PO BOX 335, TOCCOA, GA 30577-1405
(706) 886-1309
(706) 886-6132
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047514
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000833049A
—
GA
01
—
1005606
AMERIGROUP
GA
01
—
336360
WELLCARE
GA
05
—
G90082
—
SC
Enumeration date
08/31/2006
Last updated
11/01/2012
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