Individual
JOHN C REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6335 HOSPITAL PKWY, SUITE 204, JOHNS CREEK, GA 30097-1551
(404) 446-2496
(404) 446-2497
Mailing address
6335 HOSPITAL PKWY, SUITE 204, JOHNS CREEK, GA 30097-1551
(404) 446-2496
(404) 446-2497
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
064060
GA
207VG0400X
Gynecology Physician
MD130914
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064060
MEDICAL LICENSE
GA
05
—
681735673A
—
GA
Enumeration date
04/18/2007
Last updated
11/11/2010
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