Individual
JEFFREY TYLER REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 JOHNSON FERRY RD, MARIETTA, GA 30068-2108
(770) 579-7980
Mailing address
1010 JOHNSON FERRY RD, MARIETTA, GA 30068-2108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
91219
GA
Other
Enumeration date
04/04/2020
Last updated
08/15/2023
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