Individual
DR. WILLIAM E REYNOLDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PROFESSIONAL LN, ENTERPRISE, AL 36330-2085
(334) 347-3404
(334) 693-0613
Mailing address
101 PROFESSIONAL LN, ENTERPRISE, AL 36330-2085
(334) 347-3404
(334) 693-0613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00014748
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009915530
—
AL
01
—
51003750
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/10/2006
Last updated
11/15/2012
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