Individual
DR. JOHN OZMENT REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 CORPORATE CIRCLE, SALISBURY, NC 28147
(704) 637-0158
(704) 637-7710
Mailing address
530 CORPORATE CIRCLE, SALISBURY, NC 28147
(704) 637-0158
(704) 637-7710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17420
NC
207W00000X
Ophthalmology Physician
Primary
17420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052613
WELLCARE OF SC
SC
01
—
1440027
COVENTRY
—
01
—
30170953
SELECT HEALTH
SC
01
—
4414449
AETNA
—
01
—
71358
BCBS
NC
05
—
8971358
—
NC
01
—
P01307753
MEDICARE RAILROAD
NC
01
—
Q17420
MEDICAID
SC
Enumeration date
01/12/2006
Last updated
03/16/2015
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