Individual
MRS. VANESSA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
296386
GA
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
46377
GA
Other
Enumeration date
07/27/2008
Last updated
07/27/2008
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