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Mark Reynolds, NP
Family Nurse Practitioner in Gaffney, South Carolina
NPI 1578116943

Mark Reynolds is a Family Nurse Practitioner based in Atlanta, SC and is specialized in Family. Mark Reynolds practices in Gaffney, SC and has the professional credentials of NP. The NPI Number for Mark Reynolds is 1578116943 and holds a License No. 23064 (South Carolina).

The current practice location address for Mark Reynolds is 840 West Floyd Baker Blvd, Gaffney, SC and can be reached out via phone at 864-489-3300.

Location: 840 West Floyd Baker Blvd, Gaffney, SC, 30384
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578116943
Provider Name
Mark Reynolds
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
840 West Floyd Baker Blvd, Gaffney, SC, 30384
Phone Number
864-489-3300
Fax Number
Provider Enumeration Date
07/24/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP6418 05 SC
SCG602H888 01 SC MEDICARE PIN
SCG602J577 01 SC MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
840 West Floyd Baker Blvd
City
Gaffney
State
South Carolina
Zip
29340
Phone Number
864-489-3300
Fax Number
person
Provider Business Mailing Address Details
Address
840 West Floyd Baker Blvd
City
Gaffney
State
South Carolina
Zip
29340
Phone Number
864-489-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
23064 (South Carolina)
Definition
Definition to come...
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