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General NPI Number Information
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NPI Number | 1821180811
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Entity Type | Individual
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Provider Name | MICHELLE D. REID MD
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 550 PEACHTREE STREET, EMORY UNIVERSITY HOSPITAL MIDTOWN DEPARTMENT OF PATHOLOGY, DAVIS FISCHER BLDG, ROOM 1325
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City | ATLANTA
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State | GA
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Zip | 30308-0004
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Country | US
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Telephone | 404-686-1995
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Fax | 404-686-4978
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Provider Business Mailing Address
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Address Line | 1889 RIDGEMONT LN
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City | DECATUR
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State | GA
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Zip | 30033-4051
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Country | US
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Telephone | 404-806-1478
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Fax |
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 056354
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License Number State | GA
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