Provider Demographics
NPI:1629023494
Name:REED, SANDRA B (MD)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:B
Last Name:REED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:977 CLIFTON RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-1285
Mailing Address - Country:US
Mailing Address - Phone:229-224-0249
Mailing Address - Fax:229-226-8232
Practice Address - Street 1:1365 CLIFTON RD NE
Practice Address - Street 2:FOURTH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-778-3401
Practice Address - Fax:229-226-8232
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA31392207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00465627AMedicaid
GA00465627BMedicaid
E98083Medicare UPIN
GA00465627AMedicaid
GA16BDDDSMedicare ID - Type UnspecifiedQUITMAN