Individual
HALEY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4152 BAKER ST NE, COVINGTON, GA 30014-1404
(770) 788-1077
(678) 392-1202
Mailing address
4152 BAKER ST NE, COVINGTON, GA 30014-1404
(770) 788-1077
(678) 392-1202
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
230536
GA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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