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Individual

JASON SETH REINGOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11680 GREAT OAKS WAY STE 170, ALPHARETTA, GA 30022-2483
(404) 900-9970
(770) 755-5865
Mailing address
3943 DAHLWINY CT, SANDY SPRINGS, GA 30350-1153
(404) 946-8797
(404) 595-4650

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
064255
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202I06
MEDICARE
Enumeration date
06/15/2007
Last updated
04/20/2023
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