Individual
MR. DWIGHT RAYMOND REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 W MAIN ST, LEXINGTON, SC 29072-2507
(803) 359-8855
(803) 359-1257
Mailing address
811 W MAIN ST, LEXINGTON, SC 29072-2507
(803) 359-8855
(803) 359-1257
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
013522
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135222
—
SC
Enumeration date
08/26/2005
Last updated
09/18/2015
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