Provider Demographics
NPI:1558340513
Name:REED, WARD LOOMIS III (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:WARD
Middle Name:LOOMIS
Last Name:REED
Suffix:III
Gender:M
Credentials:MD MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:970 JOE FRANK HARRIS PKWY SE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-2159
Mailing Address - Country:US
Mailing Address - Phone:770-276-7900
Mailing Address - Fax:
Practice Address - Street 1:970 JOE FRANK HARRIS PKWY SE
Practice Address - Street 2:SUITE 240
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2159
Practice Address - Country:US
Practice Address - Phone:770-276-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2000009462083P0011X
VA01010485912083P0500X
GA0664062083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003169282AMedicaid
102I841544Medicare PIN