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Individual
DR. JOHN EDWARD REYNOLDS
Active
Individual
DR. JOHN EDWARD REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2016-00083
NC
207P00000X
Emergency Medicine Physician
53104
KY
207P00000X
Emergency Medicine Physician
Primary
55535
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871931816
—
NC
01
—
19J3C
BCBS OF NC
NC
Enumeration date
06/12/2013
Last updated
10/07/2022
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