Reynolds, Gary Alan

Reynolds, Gary Alan is an individual health care provider with primary practice located at 228 West 4Th St Suite 200, Cookeville TN 38501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Reynolds, Gary Alan can be contacted via phone (931) 372-0405.

Contact Information

Primary practice address
228 West 4Th St Suite 200 Cookeville TN 38501
Phone: (931) 372-0405
Fax: (931) 372-0463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38301 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD38301 Tennessee

Profile Details

NPI number 1881700912
LBN Legal business name Reynolds, Gary Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated May 15th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881700912 NPPES
Tennessee MEDICAID 3894633
Tennessee MEDICAID 64088248
Tennessee Other 4288912

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