Fort, Grady Reynolds

Fort, Grady Reynolds is an individual health care provider with primary practice located at 1140 Main St Livingston Medical Group, Livingston CA 95334-1257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fort, Grady Reynolds can be contacted via phone (209) 394-7913.

Contact Information

Primary practice address
1140 Main St Livingston Medical Group Livingston CA 95334-1257
Phone: (209) 394-7913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G27353 California

Profile Details

NPI number 1982765582
LBN Legal business name Fort, Grady Reynolds
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Sep 2nd, 2017 - about 9 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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