Healthcare Provider Details

I. General information

NPI: 1851607220
Provider Name (Legal Business Name): ASHLEY S REID RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 08/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5445 MERIDIAN MARKS RD NE SUITE 350
ATLANTA GA
30342-4763
US

IV. Provider business mailing address

5445 MERIDIAN MARKS RD NE SUITE 350
ATLANTA GA
30342-4763
US

V. Phone/Fax

Practice location:
  • Phone: 404-252-5196
  • Fax: 404-252-2414
Mailing address:
  • Phone: 404-252-5196
  • Fax: 404-252-2414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN141838
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: