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NPI Code Detail

MEDICARE: JAMES D REID III M.D.

MEDICARE: JAMES D REID III M.D.
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
1208600000XSurgery Physician19995SC
2208600000XSurgery Physician2015-00415NC
3208600000XSurgery PhysicianT9485TX

General Provider Information

NPI Number : 1295826881
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES D REID III M.D.
Provider Business Mailing Address
First Line : 2555 COURT DR STE 450
Second Line :
City : GASTONIA
State : NC
Zip : 28054-2191
Country : US
Telephone Number : 704-671-7652
Fax Number : 704-671-7656
Provider Business Practice Location Address
First Line : 2555 COURT DR STE 450
Second Line :
City : GASTONIA
State : NC
Zip : 28054-2191
Country : US
Telephone Number : 704-671-7652
Fax Number : 704-671-7656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 10/03/2022

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