Individual
MS. MARY KATHERINE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1205 N HIGHWAY 11, WEST UNION, SC 29696-2715
(864) 638-5402
(864) 638-6126
Mailing address
PO BOX 219, WEST UNION, SC 29696-0219
(864) 638-5402
(864) 638-6126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A438
SC
Other
Enumeration date
04/19/2007
Last updated
06/10/2009
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