Ivy Park Family Medicine

LBN: Wade D Reynolds Do, Llc
Ivy Park Family Medicine is an health care organization with primary practice located at 111 Ivy Park Ln Suite C, Lexington SC 29072-8289. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Wade D Reynolds Do, Llc can be contacted via phone (803) 785-4555, or through Reynolds, Wade via phone (803) 785-4555.

Contact Information

Primary practice address
111 Ivy Park Ln Suite C Lexington SC 29072-8289
Phone: (803) 785-4555
Fax: (803) 785-4556
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Wade Doctor of Osteopathy (DO)
Phone: (803) 785-4555

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0417 South Carolina

Profile Details

NPI number 1518217389
LBN Legal business name Wade D Reynolds Do, Llc
DBA Doing business as Ivy Park Family Medicine
Authorized official Reynolds, Wade Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2012
Last updated Sep 19th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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