Individual
EDNA A REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1675 ROSWELL RD APT 638, MARIETTA, GA 30062-3657
(470) 244-9731
Mailing address
1675 ROSWELL RD APT 638, MARIETTA, GA 30062-3657
(470) 244-9731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN26453
GA
163WG0000X
General Practice Registered Nurse
RN26453
GA
363L00000X
Nurse Practitioner
Primary
F07220753
GA
Other
Enumeration date
07/18/2022
Last updated
04/09/2023
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