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NPI Code Detail

MEDICARE: DR. JADE REID MD

MEDICARE:  DR. JADE  REID  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician95252SC

General Provider Information

NPI Number : 1053041707
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JADE REID MD
Provider Business Mailing Address
First Line : 45 READE PL
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12601-3947
Country : US
Telephone Number : 845-790-1317
Fax Number :
Provider Business Practice Location Address
First Line : 222 HERLONG AVE S
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-1158
Country : US
Telephone Number : 803-329-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2022
Last Update Date : 01/20/2026

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Directions to “ DR. JADE REID MD” Practice Location

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