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Individual

INGER L REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-2686
(423) 844-2688
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024169920
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
16681
TN
367500000X
Certified Registered Nurse Anesthetist
28240291A
IN

Other

Enumeration date
04/03/2012
Last updated
11/30/2017
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