Individual
ABIGAIL MARY ANN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 US 421 S, LILLINGTON, NC 27546-6760
(910) 893-1210
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15814
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2025
Last updated
02/27/2026
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