Individual
DR. JOEY REYNOLD LICAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0004
(615) 322-5000
Mailing address
7603 DRIFTWOOD DR, MYRTLE BEACH, SC 29572-4153
(843) 251-6387
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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