Individual
DR. CHARLES FREDRIC REID
Active
Individual
DR. CHARLES FREDRIC REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
22963
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209867B
MEDICARE
NC
01
—
2344759
MEDICARE, GROUP
NC
01
—
340019145
RR MEDICARE
NC
05
—
8971092
—
NC
Enumeration date
04/05/2006
Last updated
06/21/2013
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