Individual
MR. REYNOLD CARTER GRINE
Active
Individual
MR. REYNOLD CARTER GRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
200001918519
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034P
BLUE CROSS
NC
05
—
8902423
—
NC
05
—
891034P
—
NC
Enumeration date
09/29/2006
Last updated
09/11/2025
Update your record
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