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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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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