Individual
GEORGE MATHEW REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-C
Contact information
Practice address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
(336) 718-0050
(704) 316-0649
Mailing address
PO BOX 604042, CHARLOTTE, NC 28260-4042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008559
NC
363LF0000X
Family Nurse Practitioner
19689
SC
Other
Enumeration date
10/30/2015
Last updated
08/02/2024
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