Individual
JEFFREY S. REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PROFESSIONAL PARK, SUITE 204, CARROLLTON, GA 30117-3874
(770) 834-3351
(770) 830-1518
Mailing address
100 PROFESSIONAL PARK, SUITE 204, CARROLLTON, GA 30117-3874
(770) 834-3351
(770) 830-1518
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
055792
GA
207RP1001X
Pulmonary Disease Physician
Primary
055792
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
055792
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H80159
UPIN
GA
Enumeration date
07/11/2006
Last updated
09/19/2012
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