# GOLDEN ISLES VEIN INSTITUTE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548367089
- **Authorized official:** DR. TERRY L REYNOLDS MD (PRESIDENT)
- **Authorized official phone:** (912) 638-0411

## Contact information

- **Practice address:** 1015 ARTHUR J MOORE DR, ISLAND HEALTH MEDICAL PARK, ST SIMONS ISLAND, GA 31522
- **Practice address phone:** (912) 638-0411
- **Mailing address:** P O BOX 683, BRUNSWICK, GA 31521
- **Mailing address phone:** (912) 638-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | GA | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | GA | Yes |

## Other

- **Enumeration date:** 09/19/2006
- **Last updated:** 09/11/2025