Individual
LESLIE DENISE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
912 3RD ST, STE 101, GREENSBORO, NC 27405-6967
(336) 273-2511
(336) 370-0287
Mailing address
912 3RD ST, STE 101, GREENSBORO, NC 27405-6967
(336) 273-2511
(336) 370-0287
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101271149
VA
2084N0400X
Neurology Physician
70017
WI
2084N0400X
Neurology Physician
Primary
96-01701
NC
2084N0400X
Neurology Physician
E-15670
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10331
BCBS
NC
01
—
2234514
CIGNA
NC
05
—
8910331
—
NC
Enumeration date
11/06/2006
Last updated
06/02/2023
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