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MRS. LYNDA FRANKENA REAGAN P.T.
Neurodevelopmental Disabilities >> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1053468694
Individual Registrant:MRS. LYNDA FRANKENA REAGAN P.T.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
190 BOSTWICK RD OXFORD, GA 30054-2834 US
Tel: 770-784-1893 Fax: 770-784-1893
Tel: 770-784-1893 Fax: 770-784-1893
Contact information for business:
190 BOSTWICK RD OXFORD, GA 30054-2834 US
Tel: 770-784-1893 Fax: 770-784-1893
Tel: 770-784-1893 Fax: 770-784-1893
Registration Information:
NPI: 1053468694
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2080P0008X | Allopathic & Osteopathic Physicians Pediatrics Neurodevelopmental Disabilities | GA | 002437 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| UNITED HEALTHCARE | 6403075 | GA | 01 |
