Individual
DONALD JAMES REYNOLDS JR.
Active
Individual
DONALD JAMES REYNOLDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
81700
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932442
—
AL
05
—
009932443
—
AL
05
—
009932444
—
AL
05
—
009932446
—
AL
05
—
009934022
—
AL
05
—
3300039
—
TN
01
—
4187363
TNCARE SELECT
TN
01
—
51001619
BC GREYSTONE
AL
01
—
51001624
BC MONTCLAIR
AL
01
—
51001627
BC SHELBY
AL
01
—
51001628
BC 280
AL
01
—
51001630
BC SYLACAUGA
AL
05
—
817004
—
SC
01
—
P00632720
RAILROAD MEDICARE
—
Enumeration date
11/15/2005
Last updated
05/06/2021
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