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Individual

DR. ALEXANDER BRUCE REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
717 S 8TH ST, GRIFFIN, GA 30224-4818
(770) 227-4600
(770) 227-9624
Mailing address
717 S 8TH ST, GRIFFIN, GA 30224-4818
(770) 227-4600
(770) 227-9624

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
056944
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20NCCMF
MEDICARE ID-TYPE UNSPECIFIED
GA
05
569040999A
GA
05
569040999B
GA
05
569040999C
GA
Enumeration date
10/27/2005
Last updated
12/28/2012
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