Reynolds, Michael B

Reynolds, Michael B is an individual health care provider with primary practice located at 605 S Enota Dr Ne , Gainesville GA 30501-2437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Reynolds, Michael B can be contacted via phone (770) 538-0208.

Contact Information

Primary practice address
605 S Enota Dr Ne Gainesville GA 30501-2437
Phone: (770) 538-0208
Fax: (770) 538-0556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 046224 Georgia
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 046224 Georgia

Profile Details

NPI number 1487604021
LBN Legal business name Reynolds, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Sep 30th, 2013 - about 11 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 1487604021 NPPES
Georgia Other 1487604021 BCBS
Georgia Other CH9982 BCBS
Georgia Other 0007735230 BCBS
Georgia Other 070015990 BCBS
Georgia MEDICAID 000814767A BCBS

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