Individual
MS. ELEANORE REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
4153 LAWRENCEVILLE HWY NW, SUITE 5, LILBURN, GA 30047-2854
(770) 935-8616
Mailing address
1527 SILVER HILL CT, STONE MOUNTAIN, GA 30087-2411
(770) 879-0780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN070451 NP
GA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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