Individual
DR. SAMUEL D REID JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5099
SC
207RC0000X
Cardiovascular Disease Physician
5099
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050991
—
SC
01
—
29789
MEDCOST
SC
01
—
4275339
AETNA
SC
05
—
8906527
—
NC
Enumeration date
01/27/2006
Last updated
12/09/2020
Update your record
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