| Doctor Name: | SUSAN SHAW REINES |
| NPI Number: | 1770547994 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 32809 |
| Business Practice Address: | 8011 Mall Parkway Kaiser Permanente Stonecrest Medical Center Lithonia, GA - 30038 |
| Business Phone Number: | 6783237510 |
| Business Fax Number: | 6783237522 |
| Mailing Address: | 3495 Piedmont Road Ne, Nine Piedmont Center ATLANTA |
| State: | GA |
| Postal Code: | 30305 |
| Phone Number: | 4043647000 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2006 |
| NPI Last Update Date: | 05/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 32809 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |