Individual
MR. EDDIE REYNOLDS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-4041
Mailing address
3069 LAUREN PARC RD, DECATUR, GA 30032-3616
(305) 240-3167
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN208678
GA
Other
Enumeration date
01/01/2017
Last updated
03/15/2017
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