Reynolds, Mark A

Reynolds, Mark A is an individual health care provider with primary practice located at 800 E Cheves St Ste 260, Florence SC 29506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Reynolds, Mark A can be contacted via phone (843) 665-7941.

Contact Information

Primary practice address
800 E Cheves St Ste 260 Florence SC 29506
Phone: (843) 665-7941
Fax: (843) 665-1257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 19841 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 19841 South Carolina

Profile Details

NPI number 1659344810
LBN Legal business name Reynolds, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Feb 15th, 2021 - about 4 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 1659344810 NPPES
North Carolina Other 89063PK NC MEDICAID
North Carolina MEDICAID 198413 NC MEDICAID

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