Individual
PHYLLIS REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 388-5757
Mailing address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 388-5757
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000137205
TN
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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