Wade D Reynolds Do, LLC

NPI #1518217389 in Lexington, South Carolina

Provider Information

NPI Number
1518217389
Entity Type
Organization
Organization Name
Wade D Reynolds Do, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Sep 19, 2012
Last Updated
Sep 19, 2012

Practice Location

Address
111 IVY PARK LN
Address 2
SUITE C
ZIP Code
29072-8289
Phone
(803) 785-4555

Authorized Official

Name
DR. WADE REYNOLDS, DO
Title
PRESIDENT
Phone
(803) 785-4555

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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