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Individual

HEATHER D REGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3675 J DEWEY GRAY CIR STE 300, AUGUSTA, GA 30909-1868
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 3726, AUGUSTA, GA 30914-3726
(706) 863-9595
(706) 447-7137

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5509
GA
363AS0400X
Surgical Physician Assistant
005509
GA
363AS0400X
Surgical Physician Assistant
PA399
AL
363AS0400X
Surgical Physician Assistant
PA9112688
FL

Other

Enumeration date
08/26/2005
Last updated
08/24/2020
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