Individual
CAROLYN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2314
(843) 777-5035
Mailing address
PO BOX 100567, FLORENCE, SC 29506-2617
(843) 777-2314
(843) 777-5035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14080
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140804
—
SC
Enumeration date
02/07/2006
Last updated
10/05/2007
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