Individual
ROBERT J REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 YADKIN ST, ALBEMARLE, NC 28001-3441
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 751395, CHARLOTTE, NC 28275-1395
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27968
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71356
BCBS
NC
05
—
8971356
—
NC
Enumeration date
04/01/2006
Last updated
07/08/2007
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