Destina Shante Reid, PA-C

NPI #1790311223 in Lagrange, Georgia

Provider Information

NPI Number
1790311223
Entity Type
Individual
Name
Destina Shante Reid, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Mar 16, 2020
Last Updated
Mar 16, 2020

Practice Location

Address
108 EDGEWOOD AVE
State
Georgia
ZIP Code
30241-6116
Phone
(706) 415-0370

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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