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Individual

DR. CONSTANCE ANN LAVIERI-REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
BUIDLING 300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905
(706) 787-2264
Mailing address
633 BRIGHAM TRL, AUGUSTA, GA 30909-6061
(706) 305-1425

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01042689A
IN
207P00000X
Emergency Medicine Physician
Primary
050033
GA

Other

Enumeration date
01/30/2007
Last updated
10/23/2013
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