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NPI Code Detail

MEDICARE: MEGEN REYNOLDS

MEDICARE: MEGEN REYNOLDS
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
1104100000XSocial WorkerLSW0000009976TN

General Provider Information

NPI Number : 1992199087
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGEN REYNOLDS
Provider Business Mailing Address
First Line : 801 HILL ST
Second Line :
City : SPRINGFIELD
State : TN
Zip : 37172-2951
Country : US
Telephone Number : 615-382-3002
Fax Number :
Provider Business Practice Location Address
First Line : 801 HILL ST
Second Line :
City : SPRINGFIELD
State : TN
Zip : 37172-2951
Country : US
Telephone Number : 615-382-3002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2015
Last Update Date : 03/26/2015

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Directions to “ MEGEN REYNOLDS ” Practice Location

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