Individual
DR. JOHN EDWARD REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4757
(252) 744-5014
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2016-00083
NC
207P00000X
Emergency Medicine Physician
53104
KY
207P00000X
Emergency Medicine Physician
Primary
55535
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871931816
—
NC
01
—
19J3C
BCBS OF NC
NC
Enumeration date
06/12/2013
Last updated
10/07/2022
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