Individual
MR. JOEL CRIST REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 N BROAD ST, EDENTON UROLOGY CLINIC, EDENTON, NC 27932
(252) 482-1606
(252) 482-1611
Mailing address
210 N BROAD ST, EDENTON UROLOGY CLINIC, EDENTON, NC 27932
(252) 482-1606
(252) 482-1611
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9900331
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1192K
BCBS
NC
05
—
891192K
—
NC
Enumeration date
08/30/2006
Last updated
12/07/2020
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