Reynolds, Terry L

Reynolds, Terry L is an individual health care provider with primary practice located at 2415 Parkwood Drive , Brunswick GA 31520-4722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Reynolds, Terry L can be contacted via phone (912) 466-1217.

Contact Information

Primary practice address
2415 Parkwood Drive Brunswick GA 31520-4722
Phone: (912) 466-1217
Fax: (912) 466-1213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 021793 Georgia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 021793 Georgia

Profile Details

NPI number 1912997859
LBN Legal business name Reynolds, Terry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2005
Last updated May 6th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912997859 NPPES
Georgia MEDICAID 000233725D

Popular Providers