Dr. Wade D. Reynolds D.O.
Family Medicine Physician in Lexington, SC(View on Map)
Full Name
Dr. Wade D Reynolds D.O.
NPI Number
1780695965
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/11/2006
Specialties
(Taxonomies)Licenses
State
South Carolina
License Number
417
Contact
Information
Purpose
Mailing
Location
Address
111 IVY PARK LANE
111 IVY PARK LANE
City
Lexington
Lexington
State
SC
SC
Postal Code
29072
29072
Country
US
US
Telephone Number
(803) 785-4555
(864) 885-7935
Identifiers
Identifier
T00273
Identifier State
SC
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/20/2012
Provider Address
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