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Individual

GAVIN TANNER REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 MERIDIAN ST N STE 400, HUNTSVILLE, AL 35801-4719
(256) 539-8851
(256) 534-7203
Mailing address
2101 HIGHLAND AVE S STE 350, BIRMINGHAM, AL 35205-4009
(205) 558-2525
(205) 558-2554

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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