Individual
PATRICIA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP
Contact information
Practice address
906 HAMPTON RD, MCDONOUGH, GA 30253-6570
(770) 898-1415
(770) 898-2887
Mailing address
906 HAMPTON RD, MCDONOUGH, GA 30253-6570
(770) 898-1415
(770) 898-2887
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
RN057361
GA
367A00000X
Advanced Practice Midwife
Primary
RN057361
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00811522A
—
GA
Enumeration date
02/22/2007
Last updated
04/19/2010
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