Individual
DR. CHARLES W REYNOLDS
Active
Individual
DR. CHARLES W REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000014023
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669416442
GROUP NPI
TN
05
—
3001185
—
TN
01
—
3106042
BLUE CROSS
TN
01
—
3106070
BLUE CROSS
TN
01
—
CI2260
RAILROAD MEDICARE
TN
Enumeration date
07/29/2005
Last updated
12/07/2007
Update your record
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