Provider Demographics
NPI:1982693842
Name:REED, CHARLES NATHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:NATHAN
Last Name:REED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1870 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1853
Mailing Address - Country:US
Mailing Address - Phone:828-322-7546
Mailing Address - Fax:828-322-9927
Practice Address - Street 1:1870 N CENTER ST
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-1853
Practice Address - Country:US
Practice Address - Phone:828-322-7546
Practice Address - Fax:828-322-9927
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24612207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8970788Medicaid
NC8970788Medicaid
NCC86120Medicare UPIN