Reynolds, Shea Elizabeth
Reynolds, Shea Elizabeth is an individual health care provider with primary practice located at 1300 Ridenour Blvd Nw Ste 300 , Kennesaw GA 30152-4402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Reynolds, Shea Elizabeth can be contacted via phone (770) 702-1806.Contact Information
Primary practice address
1300 Ridenour Blvd Nw Ste 300
Kennesaw GA 30152-4402
Phone: (770) 702-1806
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN223462 | Georgia |
Profile Details
| NPI number | 1235728353 |
|---|---|
| LBN Legal business name | Reynolds, Shea Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2021 |
| Last updated | Jan 13th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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