Individual
MICHAEL K REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8380 BOYDTON PLANK RD, ALBERTA, VA 23821-2851
(434) 949-7211
(434) 447-2240
Mailing address
514 W ATLANTIC ST, SOUTH HILL, VA 23970-1906
(434) 447-6969
(434) 447-2240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101236563
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010091098
VA PREMIER
VA
05
—
010091098
—
VA
05
—
010091101
—
VA
05
—
010103371
—
VA
01
—
1104822386
NPI
VA
05
—
1104822386
—
VA
01
—
144581
BCBS #
VA
01
—
144592
BCBS #
VA
01
—
189199
BCBS #
VA
01
—
224189800
DOL
VA
01
—
299420
SOUTHERN HEALTH
VA
01
—
3536927
CIGNA
VA
01
—
4583985
AETNA
VA
01
—
51558
CARENET
VA
01
—
5902981
NC MEDICAID
VA
01
—
90188
OPTIMA
VA
01
—
D9941
MEDCOST
VA
01
—
P00227639
SH RR MEDICARE
VA
Enumeration date
06/22/2005
Last updated
11/15/2023
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