Individual
KEVIN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3771 TERRASOL TRL SW, LILBURN, GA 30047-2337
(678) 852-9941
Mailing address
3771 TERRASOL TRL SW, LILBURN, GA 30047-2337
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
12/26/2016
Last updated
12/26/2016
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