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Individual

LARRY REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7670
Mailing address
2400 SEVEN OAKS PARK, THOMPSONS STATION, TN 37179-9652

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
191607
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
35678
TN

Other

Enumeration date
08/31/2021
Last updated
11/07/2024
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