Organization
PRIMEDOC OF BRUNSWICK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J REYNOLDS MD (PRESIDENT/OWNER)
(828) 210-3260
Entity
Organization
Contact information
Practice address
2415 PARKWOOD DR, BRUNSWICK, GA 31520-4722
(912) 466-7000
(912) 466-7026
Mailing address
PO BOX 602287, CHARLOTTE, NC 28260-2287
(828) 210-3260
(828) 255-7623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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