Individual
MS. CARRIE ANN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
59 TIPTON DR, DAHLONEGA, GA 30533-1603
(706) 864-4012
(706) 864-4029
Mailing address
59 TIPTON DR, DAHLONEGA, GA 30533-1603
(706) 864-4012
(706) 864-4029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005195
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005195
STATE LICENSE
GA
Enumeration date
10/09/2007
Last updated
10/09/2007
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