Individual
AMBER EDWINA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2109 FAIRBURN RD, DOUGLASVILLE, GA 30135-1037
(770) 726-7958
Mailing address
150 BEAR RUN CT, PALMETTO, GA 30268-1817
(413) 313-9043
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN098201
GA
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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