Individual
DR. ANNALISE C REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
204 PROFESSIONAL CT SE, CALHOUN, GA 30701-7020
(706) 625-5900
(706) 625-6519
Mailing address
204 PROFESSIONAL CT SE, CALHOUN, GA 30701-7020
(706) 625-5900
(706) 625-6519
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
054069
GA
208000000X
Pediatrics Physician
54069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
599211308A
—
GA
05
—
599211308B
—
GA
Enumeration date
06/13/2006
Last updated
06/06/2023
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