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NPI Code Detail

MEDICARE: DEIRDRE REID FNP-BC

MEDICARE: DEIRDRE REID FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN-NP299673GA

General Provider Information

NPI Number : 1316738578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEIRDRE REID FNP-BC
Provider Business Mailing Address
First Line : 3696 WHEELER RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-6520
Country : US
Telephone Number : 706-736-1830
Fax Number :
Provider Business Practice Location Address
First Line : 1220 GEORGE C WILSON DR
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-4501
Country : US
Telephone Number : 706-941-8206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2025
Last Update Date : 02/09/2026

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Directions to “ DEIRDRE REID FNP-BC” Practice Location

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