Strother, Reginald

Strother, Reginald is an individual health care provider with primary practice located at 1620 Prince Ave , Athens GA 30606-6008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Strother, Reginald can be contacted via phone (706) 549-8114.

Contact Information

Primary practice address
1620 Prince Ave Athens GA 30606-6008
Phone: (706) 549-8114
Fax: (706) 549-0151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 044597 Georgia

Profile Details

NPI number 1548241615
LBN Legal business name Strother, Reginald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 22nd, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548241615 NPPES
Georgia MEDICAID 000853036
Georgia Other 123005200
Georgia Other 469039
Georgia Other 782364
Georgia Other P00393494

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