Individual
SANDRA E REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
176 BECKFORD DRIVE, HENDERSON, NC 27536
(252) 492-2161
(252) 438-2888
Mailing address
176 BECKFORD DRIVE, HENDERSON, NC 27536
(252) 492-2161
(252) 438-2888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103416
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
08/31/2006
Last updated
07/09/2007
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