Terry L Reynolds, MD | |
2415 Parkwood Drive, Brunswick, GA 31520-4722 | |
(912) 466-1217 | |
(912) 466-1213 |
Full Name | Terry L Reynolds |
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Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 2415 Parkwood Drive, Brunswick, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912997859 | NPI | - | NPPES |
000233725D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 021793 (Georgia) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 021793 (Georgia) | Primary |
Entity Name | Cooperative Healthcare Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
Entity Name | Radiology Consultants Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942294087 PECOS PAC ID: 1052305315 Enrollment ID: O20040412000371 |
Mailing Address | Practice Location Address |
---|---|
Terry L Reynolds, MD P.o. Box 1213, Brunswick, GA 31521-1213 Ph: (912) 466-1217 | Terry L Reynolds, MD 2415 Parkwood Drive, Brunswick, GA 31520-4722 Ph: (912) 466-1217 |
James K Conlan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-287-1515 Fax: 912-287-1394 | |
Timothy A Jamieson, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2500 Starling St, Brunswick, GA 31520 Phone: 912-466-5100 Fax: 912-466-5113 | |
Dr. Adriana M Rodriguez, MD Radiology Medicare: Medicare Enrolled Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-287-1515 Fax: 912-287-1394 |