Reynolds, George M

Reynolds, George M is an individual health care provider with primary practice located at 1040 River Oaks Dr Suite 100, Flowood MS 39232-9530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Reynolds, George M can be contacted via phone (601) 936-5311.

Contact Information

Primary practice address
1040 River Oaks Dr Suite 100 Flowood MS 39232-9530
Phone: (601) 936-5311
Fax: (601) 936-5313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 10138 Mississippi

Profile Details

NPI number 1700805553
LBN Legal business name Reynolds, George M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 13th, 2012 - about 14 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 1700805553 NPPES
Mississippi MEDICAID 00012187
Mississippi Other 753068151016
Mississippi Other 753068151
Mississippi Other 753068151

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