Organization
PRIMEDOC PARK RIDGE PA
Active
Organization
PRIMEDOC PARK RIDGE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT REYNOLDS MD (PRESIDENT OWNER)
(843) 237-3378
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR, HENDERSONVILLE, NC 28792-5272
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 60262, CHARLOTTE, NC 28260-0262
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018NX
BLUE CROSS BLUE SHIELD
NC
05
—
5905717
—
NC
Enumeration date
10/17/2006
Last updated
03/16/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up