Reynolds, Stuart Frederick

Reynolds, Stuart Frederick is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Reynolds, Stuart Frederick can be contacted via phone (864) 560-6654.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Fax: (864) 560-7353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 22017 South Carolina

Profile Details

NPI number 1316215171
LBN Legal business name Reynolds, Stuart Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2011
Last updated Dec 10th, 2020 - 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 1316215171 NPPES
South Carolina MEDICAID 220175
South Carolina MEDICAID GP3212

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