Healthcare Provider Details

I. General information

NPI: 1437089091
Provider Name (Legal Business Name): ERIK CHRISTIAN REEP PSS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 ELM AVE APT 7
AMERICUS GA
31709-4599
US

IV. Provider business mailing address

1304 ELM AVE APT 7
AMERICUS GA
31709-4599
US

V. Phone/Fax

Practice location:
  • Phone: 229-331-1104
  • Fax:
Mailing address:
  • Phone: 229-331-1104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number20545
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: