Reynolds, Sheila Dixon

Reynolds, Sheila Dixon is an sole proprietor health care provider with primary practice located at 3981 Springfield Rd , Sparta GA 31087-3343. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Community Health Worker, Managed Care Organizations / Preferred Provider Organization. Managed Care Organizations / Preferred Provider Organization is her primary health care specialty. Reynolds, Sheila Dixon can be contacted via phone (706) 486-4051.

Contact Information

Primary practice address
3981 Springfield Rd Sparta GA 31087-3343
Phone: (706) 486-4051
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 372600000X Georgia
Other Service Providers / Community Health Worker 172V00000X 033924586 Georgia
Managed Care Organizations / Preferred Provider Organization 305R00000X 033924586 Georgia

Profile Details

NPI number 1285913194
LBN Legal business name Reynolds, Sheila Dixon
Credentials O
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2011
Last updated Aug 9th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285913194 NPPES
Georgia MEDICAID 033924586

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