Doctor Name: | IRENE BRIGETTA REECE |
NPI Number: | 1053532838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, ND |
License Number: | MT000043 |
Business Practice Address: | 104 Springfield Center Drive Suite 117 Woodstock, GA - 30188 |
Business Phone Number: | 4045143129 |
Business Fax Number: | |
Mailing Address: | 104 Springfield Center Drive, Suite 117 WOODSTOCK |
State: | GA |
Postal Code: | 30188 |
Phone Number: | 4045143129 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 01/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MT000043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |