Evelyn A Reynolds
Gynecologic Oncologist
2500 Hospital Blvd Ste 410
Roswell
, Georgia 30076
Evelyn A Reynolds
Gynecologic Oncologist
2500 Hospital Blvd Ste 410
Roswell
, Georgia 30076
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Evelyn A Reynolds
- 805 Sandy Plains Road Medical Staff Services
- Marietta, GA
- Zip : 30066-6340
- Phone :
Second Address
- Evelyn A Reynolds
- 2500 Hospital Blvd Ste 410
- Roswell, GA
- Zip : 30076
- Fax : (678) 566-7803
- Phone : (770) 792-6262
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 056217 | GA |
National Provider Identifier
| NPI | 1265465140 |
|---|---|
| Provider Name | Evelyn A Reynolds |
| First Address | Marietta, GA 30066-6340 |
| Second Address | Roswell, GA 30076 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 30/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200665230A | (05) | KS |
| 732422000 | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.