National Provider Identifier Database

JOEL C REYNOLDS, MD – NPI #1972613321
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

JOEL C REYNOLDS, MD
210 N BROAD ST
EDENTON UROLOGY CLINIC
EDENTON, NC27932
Phone: 252-482-1606
Fax: 252-482-1611
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for JOEL C REYNOLDS

NPI Number 1972613321
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 12/07/2020 - About 5 years ago
Sole proprietor1 No
Identifiers
  • NC License #: 9900331
  • NC Medicaid: 891192K
  • NC Other: 1192K BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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