Provider Demographics
NPI:1316292584
Name:REED, JOSHUA D (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:D
Last Name:REED
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9401 ROBERTS DR
Mailing Address - Street 2:APT 29Q
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-1500
Mailing Address - Country:US
Mailing Address - Phone:770-712-3822
Mailing Address - Fax:770-476-1310
Practice Address - Street 1:2360 TOWNE LAKE PKWY
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-5576
Practice Address - Country:US
Practice Address - Phone:770-516-7477
Practice Address - Fax:770-516-7493
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA009017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor