Individual
MRS. MADGIE BODDIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
99 JESSE HILL JR DR SE, ROOM 402, ATLANTA, GA 30303
(404) 730-1211
Mailing address
4048 BROOKS MILL DR, LITHONIA, GA 30038
(678) 418-6644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN148981
GA
163WC1500X
Community Health Registered Nurse
RN148981
GA
Other
Enumeration date
11/15/2006
Last updated
09/11/2025
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