Individual
DR. JAMES EDWARD REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(901) 577-2345
Mailing address
1931 MEADOW GLEN LN, WINSTON SALEM, NC 27127-9096
(336) 764-0901
(336) 764-8583
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
31365
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8971097
—
NC
Enumeration date
04/07/2007
Last updated
07/08/2007
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