Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 8847 | TN |
Y | 1223P0221X | Pediatric Dentist | 8847 | TN |
NPI | 1013161041 |
---|---|
Provider Name | Dr. James Andrew Reed |
First Address | Gallatin, TN 37066-3030 |
Second Address | Gallatin, TN 37066-3030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2008 |
Last Update Date | 19/12/2017 |