Doctor Name: | DR. FREDDIE REYNOLDS |
NPI Number: | 1417932351 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 111926 |
Business Practice Address: | 3020 Sunset Blvd Ste 105 West Columbia, SC - 291693494 |
Business Phone Number: | 8033593236 |
Business Fax Number: | 8033595233 |
Mailing Address: | 811 S Lake Dr, LEXINGTON |
State: | SC |
Postal Code: | 290723715 |
Phone Number: | 8033593236 |
Fax Number: | 8033595233 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 111926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |