# ELIZABETH REYNOLDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316057979
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 3319 | GA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 01/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100002125A | — | GA |
| 01 | — | 10033117 | AMERIGROUP | GA |
| 01 | — | 319977 | WELLCARE | GA |