Individual
REED ALLEN DIMMITT
Active
Individual
REED ALLEN DIMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
23995
AL
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD.23995
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00124527
MISSISSIPPI MEDICAID
AL
01
—
4710065
UHC
AL
01
—
7721281
AETNA
AL
01
—
H312505
VIVA
—
Enumeration date
06/08/2006
Last updated
11/25/2019
Update your record
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