Reynolds, Daryl Gordon
Reynolds, Daryl Gordon is an individual health care provider with primary practice located at 566 S 8Th St , Griffin GA 30224-4212. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Reynolds, Daryl Gordon can be contacted via phone (770) 227-9432.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | RPH023082 | Georgia |
Profile Details
NPI number | 1275605677 |
---|---|
LBN Legal business name | Reynolds, Daryl Gordon |
Credentials | PHARMD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 14th, 2006 |
Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275605677 | NPPES |
Georgia | MEDICAID | 00259806A |
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