Individual
JUSTIN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8735 DUNWOODY PL # 11157, ATLANTA, GA 30350-2995
(559) 790-3940
Mailing address
8735 DUNWOODY PL # 11157, ATLANTA, GA 30350-2995
(559) 790-3940
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
95212664
CA
163WR0006X
Registered Nurse First Assistant
Primary
RN336945
GA
Other
Enumeration date
08/24/2023
Last updated
03/18/2026
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