Individual
DR. WALTER W REID III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
570 W LANIER AVE, BLDG #2, FAYETTEVILLE, GA 30214-7649
(678) 836-2128
(770) 460-7307
Mailing address
5050 MONTCALM DR SW, ATLANTA, GA 30331-8421
(404) 344-1137
(404) 344-7810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10736
GA
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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