Individual
SANDRA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 N. THOMPSON, ELLAVILLE, GA 31806-3180
(229) 938-3872
Mailing address
1406 FIRST MONTGOMERY ST, AMERICUS, GA 31719-2336
(229) 938-3872
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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