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Individual

DR. REUBEAN ALVIS REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
81 UPPER RIVERDALE RD SW, SUITE 210, RIVERDALE, GA 30274-2634
(770) 996-1200
(770) 907-7492
Mailing address
PO BOX 962380, RIVERDALE, GA 30296-6921
(770) 996-1200
(770) 907-7492

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
025822
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000607945A
GA
Enumeration date
07/31/2006
Last updated
09/21/2011
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