Healthcare Provider Details
I. General information
NPI: 1144808239
Provider Name (Legal Business Name): HUNTER LYNN REED DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/30/2021
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2520 5TH ST N
COLUMBUS MS
39705-2008
US
IV. Provider business mailing address
350 N HUMPHREYS BLVD
MEMPHIS TN
38120-2177
US
V. Phone/Fax
- Phone: 662-244-1584
- Fax: 662-244-2086
- Phone: 901-226-4003
- Fax: 901-227-8591
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 36637 |
| License Number State | MS |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: