Male or Other

Dr. Mark S. Reynolds MD

Psychiatry Physician in Durham, NC(View on Map)

Full Name

Dr. Mark Steven Reynolds MD

NPI Number

1023052503

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/15/2006

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

32957

Contact
Information

Purpose

Mailing
Location

Address

6 GATLIN CT
923 BROAD ST

City

Durham
Durham

State

NC
NC

Postal Code

27707-5395
27705-4141

Country

US
US

Telephone Number

(919) 475-7043
(919) 220-4224

Identifiers

Identifier

2342249

Identifier State

NC

Identifier Issuer

GROUP MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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