Individual
GAVIN TANNER REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD.43949
AL
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD.43949
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD.43949
AL MEDICAL LICENSE
AL
Enumeration date
06/08/2016
Last updated
01/08/2024
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