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NPI Code Detail

MEDICARE: DR. JEFFREY SCOTT REED D.O.

MEDICARE: DR. JEFFREY SCOTT REED D.O.
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
1207Q00000XFamily Medicine Physician058580GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1058580OTHERGASTATE LICENSE

General Provider Information

NPI Number : 1427146125
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY SCOTT REED D.O.
Provider Business Mailing Address
First Line : 1631 HIGHWAY 20 W
Second Line :
City : MCDONOUGH
State : GA
Zip : 30253-7311
Country : US
Telephone Number : 770-288-2822
Fax Number : 770-692-8177
Provider Business Practice Location Address
First Line : 1631 HIGHWAY 20 W
Second Line :
City : MCDONOUGH
State : GA
Zip : 30253-7311
Country : US
Telephone Number : 770-288-2822
Fax Number : 770-692-8177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 02/29/2016

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