Provider Demographics
NPI:1902000292
Name:REED, JAMES M JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:REED
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1957 BROOKVIEW DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-1606
Mailing Address - Country:US
Mailing Address - Phone:404-355-0211
Mailing Address - Fax:
Practice Address - Street 1:2105 BARRETT PARK DR NW
Practice Address - Street 2:SUITE 101
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7080
Practice Address - Country:US
Practice Address - Phone:678-797-9067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0135581835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric