Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTINA SHANTE REID, PA-C
ActiveDESTINA SHANTE REID, PA-C is a Physician Assistant healthcare provider located in LAGRANGE, Georgia. NPI 1790311223 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAGRANGE, GA
Registration Details
- NPI Number
- 1790311223
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2020 (6.3971181054522 yrs)
- Last Updated
- Mar 16, 2020
- License
-
9661 (GA)
Practice Information
- Address
-
108 EDGEWOOD AVELAGRANGE, GA, 302416116Browse GA providers · Browse ZIP 30241
- Phone
- 7064150370
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. AMANDA HOWINGTON WARD | PHYSICIAN ASSISTANT | 1316059793 |
| ALEX K HARRIS | PHD, PA-S | 1023296811 |
| MRS. BRANDY NICHOLS OWENS | PA | 1619128741 |
| MRS. LESLIE JEAN OGILVY | PA-C | 1598077398 |
| MADELYN ALMONTE | PA-C | 1518373059 |
| MRS. DUNCAN LESLIE MOFFITT | P.A. | 1922403401 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.