Individual
JOSE SALVADOR REYES OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3025 SHRINE RD STE 270, BRUNSWICK, GA 31520-4785
(912) 262-2723
(877) 244-5666
Mailing address
543 27TH ST APT 4, UNION CITY, NJ 07087-3718
(786) 371-4188
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
85416
GA
390200000X
Student in an Organized Health Care Education/Training Program
TRN26087
FL
Other
Enumeration date
04/03/2015
Last updated
08/11/2020
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