Organization
BOBBY D REYNOLDS II
Active
Other names
Appalachian Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY D REYNOLDS II FNP (OWNER)
(423) 282-4107
Entity
Organization
Contact information
Practice address
3010 BRISTOL HWY, JOHNSON CITY, TN 37601-1512
(423) 282-4170
(423) 282-4903
Mailing address
3010 BRISTOL HWY, JOHNSON CITY, TN 37601-1512
(423) 282-4170
(423) 282-4903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3700419
—
TN
Enumeration date
10/05/2006
Last updated
11/16/2007
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