Individual
DONNITA A REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5468 HIRAM LITHIA SPRINGS RD, POWDER SPRINGS, GA 30127-3512
(470) 713-4054
(770) 694-6277
Mailing address
5468 HIRAM LITHIA SPRINGS RD, POWDER SPRINGS, GA 30127-3512
(470) 713-4054
(770) 694-6277
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
GA
376K00000X
Nurse's Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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