Provider Demographics
NPI:1316133242
Name:PEOPLES, REBA DENISE (MD)
Entity type:Individual
Prefix:DR
First Name:REBA
Middle Name:DENISE
Last Name:PEOPLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3225 CUMBERLAND BLVD SE STE 100
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-6408
Mailing Address - Country:US
Mailing Address - Phone:612-254-2960
Mailing Address - Fax:612-254-2658
Practice Address - Street 1:3225 CUMBERLAND BLVD SE STE 100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-6408
Practice Address - Country:US
Practice Address - Phone:612-254-2960
Practice Address - Fax:612-254-2658
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN485082084P0800X
GA663962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry