Organization
MOBILE CONVENIENCE
Active
Other names
YourSightOnSite
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHUTI REYNOLDS L.D.O. (PROPRIETOR)
(770) 682-3777
Entity
Organization
Contact information
Practice address
1352 WOODLAND VIEW RD, LAWRENCEVILLE, GA 30043-7512
(770) 682-3777
Mailing address
1352 WOODLAND VIEW RD, LAWRENCEVILLE, GA 30043-7512
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LDO002235
GA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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