Individual
GEORGE M REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 RIVER OAKS DR, SUITE 100, FLOWOOD, MS 39232-9530
(601) 936-5311
(601) 936-5313
Mailing address
1040 RIVER OAKS DR, SUITE 100, FLOWOOD, MS 39232-9530
(601) 936-5311
(601) 936-5313
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10138
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012187
—
MS
01
—
753068151
MHP
—
01
—
753068151016
TRICARE
—
Enumeration date
07/19/2006
Last updated
12/13/2012
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