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NPI Code Detail

MEDICARE: JAMES MCKENDREE REYNOLDS MD

MEDICARE: JAMES MCKENDREE REYNOLDS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD0000016991TN

General Provider Information

NPI Number : 1659365773
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES MCKENDREE REYNOLDS MD
Provider Business Mailing Address
First Line : 7914 GLEASON DR
Second Line : CONDO 1121
City : KNOXVILLE
State : TN
Zip : 37919-5402
Country : US
Telephone Number : 865-531-8621
Fax Number :
Provider Business Practice Location Address
First Line : 140 DAMERON AVE
Second Line : KNOX COUNTY HEALTH DEPT
City : KNOXVILLE
State : TN
Zip : 37917-6413
Country : US
Telephone Number : 865-215-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 07/08/2007

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Directions to “ JAMES MCKENDREE REYNOLDS MD” Practice Location

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