Individual
JEFFREY A REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
908 W 4TH NORTH ST, MORRISTOWN, TN 37814-3894
(423) 586-4231
(865) 291-3228
Mailing address
1060 PEERLESS XING NW STE 200, CLEVELAND, TN 37312-3785
(423) 479-4165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
160
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4050526
BCBS
TN
Enumeration date
06/12/2006
Last updated
09/16/2020
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