Organization
GLENEAGLES SURGERY, PC
Active
Other names
German M. Reyes, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PIA BERKS (BILLER)
(770) 506-2080
Entity
Organization
Contact information
Practice address
1215 EAGLES LANDING PKWY, #105, STOCKBRIDGE, GA 30281-7279
(770) 506-2080
(770) 506-2767
Mailing address
1215 EAGLES LANDING PKWY, #105, STOCKBRIDGE, GA 30281-7279
(770) 506-2080
(770) 506-2767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
026177
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00313288C
—
GA
Enumeration date
07/23/2006
Last updated
12/12/2007
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