Individual
MARK REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
840 WEST FLOYD BAKER BLVD, GAFFNEY, SC 29340
(864) 489-3300
Mailing address
PO BOX 277723, ATLANTA, GA 30384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23064
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6418
—
SC
01
—
SCG602H888
MEDICARE PIN
SC
01
—
SCG602J577
MEDICARE PIN
SC
Enumeration date
07/24/2019
Last updated
12/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us