Individual
DR. JOHN M REYNOLDS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1819 W CLINCH AVE STE 100, KNOXVILLE, TN 37916-2435
(865) 524-5365
(865) 673-8007
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 243-8153
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35460
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3867875
—
TN
Enumeration date
08/21/2006
Last updated
10/13/2023
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