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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 Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JOEL C REYNOLDS · (Male)

NPI # 1972613321
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 12/07/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9900331
  • NC Medicaid 891192K
  • NC Other 1192K BCBS
Hospital affiliation(s)
  • THE OUTER BANKS HOSPITAL INC - (Critical Access)
    4800 SOUTH CROATAN HIGHWAY
    NAGS HEAD, NC 27959
  • VIDANT CHOWAN HOSPITAL - (Critical Access)
    211 VIRGINIA RD
    EDENTON, NC 27932
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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