# PRIMEDOC OF FREDERICK PA

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

## Provider details

- **NPI number:** 1952367476
- **Authorized official:** ROBERT REYNOLDS MD (PRESIDENT)
- **Authorized official phone:** (828) 210-3260

## Contact information

- **Practice address:** 400 W SEVENTH ST, FREDERICK, MD 21701-4506
- **Practice address phone:** (843) 237-3378
- **Practice address fax:** (843) 237-5073
- **Mailing address:** PO BOX 601360, CHARLOTTE, NC 28260-1360
- **Mailing address phone:** (843) 237-3378
- **Mailing address fax:** (843) 237-5073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2006
- **Last updated:** 03/16/2009