Individual
MISS SUSAN RENEE REAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8509 HOSPITAL DR, DOUGLASVILLE, GA 30134-2414
(770) 947-5440
(770) 947-5445
Mailing address
8509 HOSPITAL DR, DOUGLASVILLE, GA 30134-2414
(770) 947-5440
(770) 947-5445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT009834
GA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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