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Organization

GRAHAM M REID MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRAHAM MACK REID MD (OWNER)
(501) 221-3331
Entity
Organization

Contact information

Practice address
10816 EXECUTIVE CENTER DR, #101, LITTLE ROCK, AR 72211-4354
(501) 221-3331
(501) 221-3339
Mailing address
10816 EXECUTIVE CENTER DRIVE, SUITE 101, LITTLE ROCK, AR 72211-4381
(501) 221-3331
(501) 221-3339

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C-5446
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157282002
AR
Enumeration date
08/28/2006
Last updated
01/12/2015
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