Individual
DR. JOHN T. MCREYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 LEIGH DR, COLUMBUS, MS 39705-3014
(334) 386-2053
(334) 244-1830
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2053
(334) 244-1830
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18507
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06234311
—
MS
Enumeration date
12/05/2005
Last updated
03/20/2013
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