Kathy Delaine Reid
Nurse Practitioner, Family in Conyers, GA. Individual provider (NPI-1).
NPI number1982202644
StatusActive
Last updated in NPPESOct 15, 2020
Details
- NPI
- 1982202644
- Entity type
- Individual (NPI-1)
- Name
- Kathy Delaine Reid
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2020
- Certification date
- Oct 15, 2020
- Last updated
- Oct 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN220155 | GA | Yes |
Practice location
2324 Wilson Rd NwConyers, GA 30012-2720
Phone 270-452-1117
Mailing address
2324 Wilson Rd NwConyers, GA 30012-2720
Phone 270-452-1117
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