Mary K Reynolds (NPI# 1417174673, PAC ID# 7719168111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417174673 |
| PAC ID by PECOS | 7719168111 |
| Professional Enrollment ID | I20110217000663 |
| Full Name | Mary K Reynolds |
| Organization Legal Name | GOLDEN CORNER FAMILY PRAC |
| Address |
1205 N Hwy 11 West Union SC 29696-2715 |
| Phone Number | 8646385402 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5799836672 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420009 | GHS OCONEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1205 N Hwy 11, West Union, SC 29696-2715 | 8646385402 | GOLDEN CORNER FAMILY PRAC |
| Organization Legal Name | GOLDEN CORNER FAMILY PRAC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina A Booker | Family Medicine | Golden Corner Family Prac | 1205 N Hwy 11, West Union, SC 29696-2715 |
| Edward H Booker | Family Medicine | Golden Corner Family Prac | 1205 N Hwy 11, West Union, SC 29696-2715 |
| Edward Henry Booker Jr. | Family Medicine | Golden Corner Family Prac | 1205 N Hwy 11, West Union, SC 29696-2715 |
| Sherri C Mcmahan | Nurse Practitioner | Golden Corner Family Prac | 1205 N Hwy 11, West Union, SC 29696-2715 |
| Street Address |
1205 N HWY 11 |
| City | WEST UNION |
| State | SC |
| Zip | 29696-2715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina A Booker | Family Medicine | Golden Corner Family Prac | 1205 N Hwy 11, West Union, SC 29696-2715 |
| Edward H Booker | Family Medicine | Golden Corner Family Prac | 1205 N Hwy 11, West Union, SC 29696-2715 |
| Edward Henry Booker Jr. | Family Medicine | Golden Corner Family Prac | 1205 N Hwy 11, West Union, SC 29696-2715 |
| Sherri C Mcmahan | Nurse Practitioner | Golden Corner Family Prac | 1205 N Hwy 11, West Union, SC 29696-2715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Copploe | Physical Therapy | Life Strides Physical Therapy and Rehabilitation Limited Partnership | 148 Foothills Ctr Dr, Suite 148, West Union, SC 29696-2518 |
| Melissa Poleynard Hubbard | Physical Therapy | Life Strides Physical Therapy and Rehabilitation Limited Partnership | 148 Foothills Ctr Dr, Suite 148, West Union, SC 29696-2518 |
| Kaitlyn Yvonne Kluge Dale | Physical Therapy | Life Strides Physical Therapy and Rehabilitation Limited Partnership | 148 Foothills Ctr Dr, Suite 148, West Union, SC 29696-2518 |
| Monte S Wright | Physical Therapy | Life Strides Physical Therapy and Rehabilitation Limited Partnership | 148 Foothills Ctr Dr, Suite 148, West Union, SC 29696-2518 |
| Julie Brewer Voss | Physical Therapy | Life Strides Physical Therapy and Rehabilitation Limited Partnership | 148 Foothills Ctr Dr, Suite 148, West Union, SC 29696-2518 |
| Kimberly L Long | Physical Therapy | Life Strides Physical Therapy and Rehabilitation Limited Partnership | 148 Foothills Ctr Dr, Suite 148, West Union, SC 29696-2518 |
| Amanda R Appleberry | Physical Therapy | Life Strides Physical Therapy and Rehabilitation Limited Partnership | 148 Foothills Ctr Dr, Suite 148, West Union, SC 29696-2518 |
| Ronald Wooten | Physical Therapy | Life Strides Physical Therapy and Rehabilitation Limited Partnership | 148 Foothills Ctr Dr, West Union, SC 29696-2518 |
| Janet B Cobb | Chiropractic | 166 Scenic Plaza Dr, West Union, SC 29696-2536 |
| City | WEST UNION |
| Zip Code | 29696 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WEST UNION + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mary K Reynolds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.