Provider Demographics
NPI:1568646446
Name:REID, HENRY LAMAR III (DC)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:LAMAR
Last Name:REID
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9297 RHEA COUNTY HWY
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37321-7906
Mailing Address - Country:US
Mailing Address - Phone:423-775-9000
Mailing Address - Fax:423-775-9114
Practice Address - Street 1:9297 RHEA COUNTY HWY
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-7906
Practice Address - Country:US
Practice Address - Phone:423-775-9000
Practice Address - Fax:423-775-9114
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000000668111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology