Provider Demographics
NPI:1912922279
Name:REID, WILLIAM ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALEXANDER
Last Name:REID
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 BRIGHAM TRL
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6061
Mailing Address - Country:US
Mailing Address - Phone:678-953-0825
Mailing Address - Fax:
Practice Address - Street 1:ALEXANDER MEDICAL GROUP, INC
Practice Address - Street 2:4115 COLUMBIA RD STE 5-371
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907
Practice Address - Country:US
Practice Address - Phone:678-953-0825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK16336174400000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
E64604Medicare UPIN