Reyes, Ingrid Vivian
Reyes, Ingrid Vivian is an individual health care provider with primary practice located at 10692 Medlock Bridge Rd Ste 100A , Johns Creek GA 30097-8497. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Reyes, Ingrid Vivian can be contacted via phone (404) 446-2496.Contact Information
Primary practice address
10692 Medlock Bridge Rd Ste 100A
Johns Creek GA 30097-8497
Phone: (404) 446-2496
Fax: (404) 446-2497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 064059 | Georgia |
Profile Details
| NPI number | 1386846319 |
|---|---|
| LBN Legal business name | Reyes, Ingrid Vivian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386846319 | NPPES |
| Georgia | MEDICAID | GA MCD PENDING |
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