person
Leah R Reynolds, PA-C
Medical Physician Assistant in Suwanee, Georgia
NPI 1124088851

Leah R Reynolds is a Medical Physician Assistant based in Suwanee, GA and is specialized in Medical. Leah R Reynolds practices in Suwanee, GA and has the professional credentials of PA-C. The NPI Number for Leah R Reynolds is 1124088851 and holds a License No. 3344 (Georgia).

The current practice location address for Leah R Reynolds is 4245 Johns Creek Pkwy, Suwanee, GA and can be reached out via phone at 770-495-3820 and via fax at 770-495-3825.

Location: 4245 Johns Creek Pkwy, Suwanee, GA, 30024-9121
person
Provider Profile Details
NPI Number
1124088851
Provider Name
Leah R Reynolds
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4245 Johns Creek Pkwy, Suwanee, GA, 30024-9121
Phone Number
770-495-3820
Fax Number
770-495-3825
Provider Enumeration Date
03/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003121895D 05 GA
003121895F 05 GA
P00380758 01 AZ RAILROAD MEDICARE
069627 05 AZ
institution
Provider Business Practice Location Address Details
Address
4245 Johns Creek Pkwy
City
State
Zip
30024-9121
Phone Number
770-495-3820
Fax Number
770-495-3825
person
Provider Business Mailing Address Details
Address
4245 Johns Creek Pkwy
City
State
Zip
30024-9121
Phone Number
770-495-3820
Fax Number
770-495-3825
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
6370 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
3344 (Arizona)
Definition
Definition to come...
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