Individual
DR. MEDEL A REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 WHITCHER STREET, SUITE 420, MARIETTA, GA 30060
(770) 422-1372
(770) 423-9651
Mailing address
55 WHITCHER STREET, SUITE 420, MARIETTA, GA 30060
(770) 422-1372
(770) 423-9651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
048815
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
048815
GA
207RP1001X
Pulmonary Disease Physician
Primary
048815
GA
Other
Enumeration date
06/27/2005
Last updated
06/04/2018
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