Reynolds, Freddie

Reynolds, Freddie is an individual health care provider with primary practice located at 3020 Sunset Blvd Ste 105, West Columbia SC 29169-3494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Reynolds, Freddie can be contacted via phone (803) 359-3236.

Contact Information

Primary practice address
3020 Sunset Blvd Ste 105 West Columbia SC 29169-3494
Phone: (803) 359-3236
Fax: (803) 359-5233
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 111926 South Carolina

Profile Details

NPI number 1417932351
LBN Legal business name Reynolds, Freddie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Feb 9th, 2016 - about 10 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 1417932351 NPPES
South Carolina MEDICAID GP3626
South Carolina Other 542091608

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