Reynolds, Dwight Raymond
Reynolds, Dwight Raymond is an individual health care provider with primary practice located at 811 W Main St , Lexington SC 29072-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reynolds, Dwight Raymond can be contacted via phone (803) 359-8855.Contact Information
Primary practice address
811 W Main St
Lexington SC 29072-2507
Phone: (803) 359-8855
Fax: (803) 359-1257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 013522 | South Carolina |
Profile Details
| NPI number | 1760475545 |
|---|---|
| LBN Legal business name | Reynolds, Dwight Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Sep 18th, 2015 - about 9 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 | 1760475545 | NPPES |
| South Carolina | MEDICAID | 135222 |
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