Individual
STACEY C REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
220 NORTHSIDE DR, VALDOSTA, GA 31602-1858
(229) 241-2800
(229) 241-0454
Mailing address
220 NORTHSIDE DR, VALDOSTA, GA 31602-1858
(229) 241-2800
(229) 241-0454
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN165481
GA
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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