Reynolds, Mark

Reynolds, Mark is an individual health care provider with primary practice located at 840 West Floyd Baker Blvd , Gaffney SC 29340. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Reynolds, Mark can be contacted via phone (864) 489-3300.

Contact Information

Primary practice address
840 West Floyd Baker Blvd Gaffney SC 29340
Phone: (864) 489-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23064 South Carolina

Profile Details

NPI number 1578116943
LBN Legal business name Reynolds, Mark
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2019
Last updated Dec 10th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578116943 NPPES
South Carolina MEDICAID NP6418
South Carolina Other SCG602H888
South Carolina Other SCG602J577

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