Individual
DENISE S REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5095 PEACHTREE PKWY, NORCROSS, GA 30092-2524
(770) 209-9299
Mailing address
5095 PEACHTREE PKWY, NORCROSS, GA 30092-2524
(770) 209-9299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN120844
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853873113A
—
GA
Enumeration date
09/27/2005
Last updated
02/14/2020
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