Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 18303 | MS |
Y | 207VX0201X | Gynecologic Oncologist | 20450 | TN |
N | 207VX0201X | Gynecologic Oncologist | E3415 | AR |
NPI | 1477585347 |
---|---|
Provider Name | Mark E Reed |
First Address | Germantown, TN 38138-3941 |
Second Address | Germantown, TN 38138-1762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 25/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00123498 | (05) | MS |
00770531 | (05) | MS |
142235001 | (05) | AR |
205175300 | (05) | MO |
3858084 | (05) | TN |
4000599 | BCBS TN (01) | TN |
7396190 | AETNA (01) | |
98883 | BCBS AR (01) | AR |