Provider Demographics
NPI:1922290568
Name:REID, AMY LYN (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYN
Last Name:REID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1638
Mailing Address - Country:US
Mailing Address - Phone:843-593-8019
Mailing Address - Fax:843-962-1378
Practice Address - Street 1:107 SEAGRASS STATION RD
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9549
Practice Address - Country:US
Practice Address - Phone:843-593-8019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC89521208100000X, 208100000X
FLME119279208100000X
ARE10170208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation