Individual
ELENA TERECE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2053 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3747
(910) 323-9222
(910) 223-9783
Mailing address
2149 VALLEYGATE DR STE 101, FAYETTEVILLE, NC 28304-3666
(910) 670-0207
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-00804
NC
Other
Enumeration date
01/16/2007
Last updated
08/21/2023
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