Individual
DR. MARK STEVEN REYNOLDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
923 BROAD ST, DURHAM, NC 27705-4141
(919) 220-4224
(919) 220-7309
Mailing address
6 GATLIN CT, DURHAM, NC 27707-5395
(919) 475-7043
(919) 220-7309
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32957
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2342249
GROUP MEDICARE
NC
Enumeration date
06/15/2006
Last updated
07/08/2007
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