Individual
MORIANNA E REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 THOMAS NEWELL WAY # 202, CARROLLTON, GA 30117-2560
(470) 521-6740
Mailing address
110 THOMAS NEWELL WAY # 202, CARROLLTON, GA 30117-2560
(470) 521-6740
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
053939177
GA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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