Provider Demographics
NPI:1194706531
Name:REED, JOHN CHIP HAMILTON III (MD)
Entity type:Individual
Prefix:
First Name:JOHN CHIP
Middle Name:HAMILTON
Last Name:REED
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1475 HOLCOMB BRIDGE ROAD
Mailing Address - Street 2:SUITE 129
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076
Mailing Address - Country:US
Mailing Address - Phone:678-325-2250
Mailing Address - Fax:678-325-2261
Practice Address - Street 1:1475 HOLCOMB BRIDGE RD
Practice Address - Street 2:SUITE 129
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2139
Practice Address - Country:US
Practice Address - Phone:678-325-2250
Practice Address - Fax:678-325-2261
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA024719207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
024251OtherPHCS
4068071OtherAETNA HEALTHCARE
78718509OtherUNITED HEALTHCARE
21168982233OtherBEECH STREET
93464OtherFIRST HEALTH
52237911004OtherBCBS
P00134161OtherRAILROAD MEDICARE
78718509OtherUNITED HEALTHCARE
D42212Medicare UPIN