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Organization
E.V INFUSIONS, LLC
Active
Organization
E.V INFUSIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALI M. REYNOLDS ANP-BC (PRESIDENT/CEO)
(912) 656-6122
Entity
Organization
Contact information
Practice address
125 SOUTHERN JUNCTION BLVD STE 201, POOLER, GA 31322-2214
(912) 450-1160
(912) 450-3971
Mailing address
203 MALLARD LOOP RD, SAVANNAH, GA 31405-8123
(912) 450-1160
(912) 450-3971
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN140169
GA
Other
Enumeration date
03/09/2018
Last updated
04/06/2018
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