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Individual

DR. GRAHAM MACK REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10816 EXECUTIVE CENTER DR, SUITE 101, LITTLE ROCK, AR 72211-4384
(501) 221-3331
(501) 221-3339
Mailing address
10816 EXECUTIVE CENTER DR, SUITE 101, LITTLE ROCK, AR 72211-4384
(501) 221-3331
(501) 221-3339

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
C-5446
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105171001
AR
Enumeration date
01/23/2006
Last updated
11/18/2009
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