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1194133348
SHANNON REYNOLDS
MACON, GA
NPI
1194133348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN173458)
Enumeration Date
2014-07-31
Last Update Date
2017-01-20
Business Address
-- SHANNON REYNOLDS NP
890 2ND ST SUITE 201
MACON, GA 31201-6863
Phone number: 478-745-4322
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Mailing Address
-- SHANNON REYNOLDS NP
890 2ND ST SUITE 201
MACON, GA 31201-6863
Phone number: 478-745-4322
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