Individual
DR. STUART FREDERICK REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
22017
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220175
—
SC
05
—
GP3212
—
SC
Enumeration date
12/08/2011
Last updated
12/10/2020
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