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Individual

MR. SETH MICHAEL REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BOC-O, CP

Contact information

Practice address
3845 HENDERSONVILLE RD, FLETCHER, NC 28732-8241
(828) 684-1644
(828) 684-1104
Mailing address
PO BOX 428, SKYLAND, NC 28776-0428
(828) 684-1644
(828) 684-1104

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C49811
MD
224P00000X
Prosthetist
Primary
CP003528
DE
224P00000X
Prosthetist
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7795423
NC
01
C49811
CERTIFIED ORTHOTIST
01
CP003528
CERTIFIED PROSTHETIST
NC
Enumeration date
01/29/2009
Last updated
05/13/2015
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