Strother, Reginald
Strother, Reginald is an individual health care provider with primary practice located at 1620 Prince Ave , Athens GA 30606-6008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Strother, Reginald can be contacted via phone (706) 549-8114.Contact Information
Primary practice address
1620 Prince Ave
Athens GA 30606-6008
Phone: (706) 549-8114
Fax: (706) 549-0151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 044597 | Georgia |
Profile Details
| NPI number | 1548241615 |
|---|---|
| LBN Legal business name | Strother, Reginald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Feb 22nd, 2010 - about 16 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 | 1548241615 | NPPES |
| Georgia | MEDICAID | 000853036 | |
| Georgia | Other | 123005200 | |
| Georgia | Other | 469039 | |
| Georgia | Other | 782364 | |
| Georgia | Other | P00393494 |
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