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NPI Code Detail

MEDICARE: MELINDA P REED NP

MEDICARE:   MELINDA P REED  NP
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
1363LF0000XFamily Nurse PractitionerRN215475GA

General Provider Information

NPI Number : 1093221574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA P REED NP
Provider Business Mailing Address
First Line : 500 W 3RD AVE STE 101
Second Line :
City : ALBANY
State : GA
Zip : 31701-1900
Country : US
Telephone Number : 229-312-5802
Fax Number :
Provider Business Practice Location Address
First Line : 1014 W FRANKLIN ST
Second Line :
City : SYLVESTER
State : GA
Zip : 31791-1978
Country : US
Telephone Number : 229-776-2965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2017
Last Update Date : 12/20/2017

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