Individual
MR. REYNOLD CARTER GRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
185 PAGE ROAD, SUITE A, PINEHURST, NC 28374-8747
(910) 295-5567
(910) 295-3315
Mailing address
185 PAGE ROAD, SUITE A, PINEHURST, NC 28374-8747
(910) 295-5567
(910) 295-3315
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
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