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Individual

SHARON D REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
191 DEEP SOUTH FARM RD, BLAIRSVILLE, GA 30512-2220
(706) 439-6380
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN187854
GA
363LF0000X
Family Nurse Practitioner
201654
NC
363LF0000X
Family Nurse Practitioner
RN187854
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7003892
NC
Enumeration date
12/29/2006
Last updated
08/26/2022
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