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Individual

DR. ROBERT STEWART REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D. C.

Contact information

Practice address
304 N WESTBERRY ST, SYLVESTER, GA 31791-2125
(229) 776-4697
(229) 776-1494
Mailing address
PO BOX 812, 304 N WESTBERRY STREET, SYLVESTER, GA 31791-0812
(229) 776-4697
(229) 776-1494

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002855
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35ZCBLF
MEDICARE PROVIDER #
GA
Enumeration date
02/29/2008
Last updated
02/29/2008
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