Individual
DR. DARYL GORDON REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
566 S 8TH ST, GRIFFIN, GA 30224-4212
(770) 227-9432
Mailing address
566 S 8TH ST, GRIFFIN, GA 30224-4212
(770) 227-9432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023082
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00259806A
—
GA
Enumeration date
11/14/2006
Last updated
07/09/2007
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