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Organization

MICHAEL D. REESE, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL D REESE M.D. (PHYSICIAN)
(770) 944-8485
Entity
Organization

Contact information

Practice address
9280 HIGHWAY 5, SUITE D, DOUGLASVILLE, GA 30134-1501
(770) 944-8485
(770) 944-8550
Mailing address
9280 HIGHWAY 5, SUITE D, DOUGLASVILLE, GA 30134-1501
(770) 944-8485
(770) 944-8550

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208D00000X
General Practice Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000173148C
GA
01
0100389
UNITED HEALTHCARE HMO
GA
01
010064309
RAILROAD MEDICARE
GA
01
01BDHLQ
MEDICARE
GA
01
2032867
AETNA HMO
GA
01
310584454
CHAMPUS/TRICARE
GA
01
4261769
AETNA PPO
GA
01
843752
BCBS OF GA
GA
Enumeration date
02/11/2009
Last updated
01/21/2011
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