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NPI Code Detail

MEDICARE: DR. REBA DENISE PEOPLES M.D.

MEDICARE:  DR. REBA DENISE PEOPLES  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
12084P0800XPsychiatry Physician48508MN
22084P0800XPsychiatry Physician66396GA

General Provider Information

NPI Number : 1316133242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBA DENISE PEOPLES M.D.
Provider Business Mailing Address
First Line : 3225 CUMBERLAND BLVD SE STE 100
Second Line :
City : ATLANTA
State : GA
Zip : 30339-6408
Country : US
Telephone Number : 612-254-2960
Fax Number : 612-254-2658
Provider Business Practice Location Address
First Line : 3225 CUMBERLAND BLVD SE STE 100
Second Line :
City : ATLANTA
State : GA
Zip : 30339-6408
Country : US
Telephone Number : 612-254-2960
Fax Number : 612-254-2658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2007
Last Update Date : 09/11/2023

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Directions to “ DR. REBA DENISE PEOPLES M.D.” Practice Location

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