Individual
JULIA ERIN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 W STONE DR, KINGSPORT, TN 37660-2360
(423) 246-4961
(423) 245-3136
Mailing address
2300 W STONE DR, KINGSPORT, TN 37660-2360
(423) 246-4961
(423) 245-3136
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125-053205
IL
207ND0101X
MOHS-Micrographic Surgery Physician
036-127825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127825
—
IL
05
—
1295927721
—
VA
Enumeration date
08/17/2007
Last updated
07/31/2012
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