Individual
DR. STACY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1458 CHURCH ST STE B, DECATUR, GA 30030-1672
(404) 508-2000
(404) 508-5012
Mailing address
2175 WALLACE RD SW, ATLANTA, GA 30331-7758
(404) 405-7260
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
058917
GA
Other
Enumeration date
09/20/2007
Last updated
10/17/2020
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