Individual
MIRRIN E REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
5909 PEACHTREE DUNWOODY RD NE, STE 720, ATLANTA, GA 30328-8102
(770) 928-2276
(770) 592-2092
Mailing address
5909 PEACHTREE DUNWOODY RD NE, STE 720, ATLANTA, GA 30328-8102
(770) 928-2276
(770) 592-2092
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN150756
GA
364SP1700X
Perinatal Clinical Nurse Specialist
RN150756
GA
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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