Individual
WESLEY A REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4580 PINTAIL CT, MARTINEZ, GA 30907-8872
(706) 210-9880
Mailing address
4580 PINTAIL CT, MARTINEZ, GA 30907-8872
(706) 210-9880
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN166976 CRNA
GA
Other
Enumeration date
10/31/2006
Last updated
03/11/2008
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