NPI 1093047474

Kirby Brown Reinecke, PAC

Practitioner Medical Physician Assistant Canton, GA

Practice location

Address: 120 Oakside CT Suite H, Canton, GA 30114-2471
Phone: (678) 880-8770
Fax: (770) 213-4418

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 5775 (GA)

Other Physician Assistant providers in Georgia →

Registry record

NPI: 1093047474
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2010
Record last updated: 29 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.