Individual
MR. MILTON RENARD REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOCO,BOCPD,LPO
Contact information
Practice address
1810 MULKEY RD STE 202, AUSTELL, GA 30106-1150
(678) 738-7380
(678) 738-7382
Mailing address
1810 MULKEY RD STE 202, AUSTELL, GA 30106-1150
(678) 738-7380
(678) 738-7382
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
000084
GA
224P00000X
Prosthetist
000084
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084
GEORGIA LICENSED ORTHOTIST PROSTHETIST
GA
Enumeration date
08/28/2008
Last updated
04/19/2021
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