| Doctor Name: | MARTHA REID |
| NPI Number: | 1548677586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-111395 |
| Business Practice Address: | 511 Brantley St Opp, AL - 364671702 |
| Business Phone Number: | 3344933240 |
| Business Fax Number: | 3344939535 |
| Mailing Address: | 511 Brantley St, OPP |
| State: | AL |
| Postal Code: | 364671702 |
| Phone Number: | 3344933240 |
| Fax Number: | 3344939535 |
| NPI Enumeration Date: | 07/22/2014 |
| NPI Last Update Date: | 07/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 1-111395 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |