Individual
JOSEPH C REYNOLDS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
750 TOWNPARK LN NW, KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER, KENNESAW, GA 30144-5579
(770) 514-5401
Mailing address
7820 HICKORY FLAT HWY, WOODSTOCK, GA 30188-2099
(404) 504-5678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
007884-1
NY
363A00000X
Physician Assistant
Primary
47000
GA
Other
Enumeration date
06/14/2006
Last updated
01/10/2022
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