Individual
JOHN EDWARD REYNOLDS
Active
Individual
JOHN EDWARD REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200200984
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
200200984
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313N
BCBS
—
05
—
2004776000
—
WV
01
—
50088605
RR MEDICARE
—
05
—
5719241
—
VA
01
—
7877707
AETNA
—
01
—
800198
PARTNERS
—
05
—
891313N
—
NC
01
—
B8591
MEDCOST
—
05
—
Q0098D
—
SC
Enumeration date
12/14/2005
Last updated
09/08/2017
Update your record
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