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General NPI Number Information
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NPI Number | 1184690935
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Entity Type | Individual
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Provider Name | YOLANDA G REID MD
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Gender | Female
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 2761 JEFFERSON DAVIS HWY STE 101
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City | STAFFORD
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State | VA
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Zip | 22554-8330
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Country | US
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Telephone | 909-281-4720
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Fax | 951-808-5975
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Provider Business Mailing Address
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Address Line | PO BOX 1460
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City | FREDERICKSBURG
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State | VA
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Zip | 22402-1460
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Country | US
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Telephone | 540-786-2100
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Fax | 540-786-6673
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101223707
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License Number State | VA
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