| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARION A REYNOLDS | 1568457992 | 2022-06-19 |
Marion A Reynolds is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568457992. Registration indicates Marion A Reynolds is a provider of access to ob/gyn services with a specialization in Allopathic & Osteopathic Physicians, Obstetrics & Gynecology (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians) Access to OB/GYN (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Marion A Reynolds M.D. |
| Practice Office Address | 920 DOUG WHITE DR STE 140 MYRTLE BEACH, SC US |
| Practice Office Telephone | 8548547170 |
| Practice Office Fax | 8548547171 |
| Mailing Address | 920 DOUG WHITE DR STE 140 MYRTLE BEACH, SC 295724180 US |
| Business Telephone | 8548547170 |
| Business Fax | 8548547171 |
| Code | Practice | License No State |
|---|---|---|
| 207V00000X | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | 034515
GA |
| 207V00000X PRIMARY | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | 81553
SC |
| 3105009-01 | MEDICAID | TX | |
| 000470731H | MEDICAID | GA |