Reynolds, Ronald K

Reynolds, Ronald K is an individual health care provider with primary practice located at 1714 Highway 17 S , North Myrtle Beach SC 29582-4041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Reynolds, Ronald K can be contacted via phone (843) 361-0705.

Contact Information

Primary practice address
1714 Highway 17 S North Myrtle Beach SC 29582-4041
Phone: (843) 361-0705
Fax: (843) 361-4045
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 13024 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13024 South Carolina

Profile Details

NPI number 1376641878
LBN Legal business name Reynolds, Ronald K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1376641878 NPPES
South Carolina MEDICAID 130245

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