Healthcare Provider Details

I. General information

NPI: 1609734615
Provider Name (Legal Business Name): BRIANA REITZ PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 RED BUD RD NE
CALHOUN GA
30701-6010
US

IV. Provider business mailing address

8720 WHISTLING STRAITS WAY
KNOXVILLE TN
37931-3234
US

V. Phone/Fax

Practice location:
  • Phone: 706-602-7800
  • Fax:
Mailing address:
  • Phone: 505-934-2661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: