Bobby D Reynolds Ii in Johnson City - Family

Bobby D Reynolds Ii - NPI 1306932470

Bobby D Reynolds Ii is a Family in Johnson City, Tennessee. Bobby D Reynolds Ii practices all healthcare services and medical treatments related to Family. The NPI Number for Bobby D Reynolds Ii is 1306932470. The last update date is 2007-11-16.

Bobby D Reynolds Ii's current location address is 3010 Bristol Hwy, Johnson City, Tennessee. You can contact this provider via phone number 4232824170 and fax number 4232824903. The mailing address for Bobby D Reynolds Ii is 3010 Bristol Hwy, Johnson City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bobby D Reynolds Ii
Address 3010 Bristol Hwy, Johnson City, Tennessee
Phone Number 4232824170
Fax Number 4232824903
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Reynolds D Bobby
Credentials FNP
Telephone Number 4232824107

NPI Number Detail

NPI Number 1306932470
Provider Enumeration Date 2006-10-05
Last Updated Date 2007-11-16

Provider Mailing Address Detail

Address 3010 Bristol Hwy
City Johnson City
State Tennessee (TN)
Post Code 376011512
Phone Number 4232824170
Fax Number 4232824903

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3700419 TN --

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FAQs about Bobby D Reynolds Ii

What is the unique identifier code issued to Bobby D Reynolds Ii by the Centers for Medicare & Medicaid Services?

The Bobby D Reynolds Ii has been assigned the NPI (National Provider Identifier) 1306932470. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Bobby D Reynolds Ii is physically located?

The Bobby D Reynolds Ii is physically situated at the following address: 3010 Bristol Hwy, Johnson City, TN, 376011512.

What is Bobby D Reynolds Ii's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bobby D Reynolds Ii is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1306932470 to Bobby D Reynolds Ii?

The Centers for Medicare & Medicaid Services assigned the 1306932470 to Bobby D Reynolds Ii on 2006-10-05.

As of what date was the information regarding Bobby D Reynolds Ii, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bobby D Reynolds Ii, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-16.

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