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NPI Code Detail

MEDICARE: PATRICIA S REYNOLDS P.A.C.

MEDICARE:   PATRICIA S REYNOLDS  P.A.C.
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
1363AM0700XMedical Physician Assistant0110003329VA

General Provider Information

NPI Number : 1740221407
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA S REYNOLDS P.A.C.
Provider Business Mailing Address
First Line : 400 SENTARA CIR STE 320
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23188-5716
Country : US
Telephone Number : 757-345-4800
Fax Number : 757-345-4801
Provider Business Practice Location Address
First Line : 117 BULIFANTS BLVD STE B
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23188-5712
Country : US
Telephone Number : 757-259-9540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 05/21/2026

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Directions to “ PATRICIA S REYNOLDS P.A.C.” Practice Location

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