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Individual

DR. FREDDIE REYNOLDS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3020 SUNSET BLVD, STE 105, WEST COLUMBIA, SC 29169-3494
(803) 359-3236
(803) 359-5233
Mailing address
811 S LAKE DR, LEXINGTON, SC 29072-3715
(803) 359-3236
(803) 359-5233

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
111926
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
542091608
BCBS OF SC
SC
05
GP3626
SC
Enumeration date
12/14/2005
Last updated
02/09/2016
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