Reid, Gregory
Reid, Gregory is an individual health care provider with primary practice located at 1255 Highway 54 W , Fayetteville GA 30214-4526. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Reid, Gregory can be contacted via phone (770) 719-7000.Contact Information
Primary practice address
1255 Highway 54 W
Fayetteville GA 30214-4526
Phone: (770) 719-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X |
Profile Details
| NPI number | 1518334564 |
|---|---|
| LBN Legal business name | Reid, Gregory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2015 |
| Last updated | Aug 25th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518334564 | NPPES |
| Georgia | Other | XKP544A78869 | BLUE CROSS BLUE SHIELD |
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