Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD ROGER REYNOLDS JR., PAC
ActiveMR. EDWARD ROGER REYNOLDS JR., PAC is a Dermatology healthcare provider located in SUMTER, South Carolina. NPI 1013942549 is currently active in the NPPES registry. Verify at CMS.
Dermatology · SUMTER, SC
Registration Details
- NPI Number
- 1013942549
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2006 (20.064377764235 yrs)
- Last Updated
- Sep 29, 2025
- License
-
771 (SC)
Practice Information
- Address
-
560 CONSTITUTION DR STE 200SUMTER, SC, 291548175Browse SC providers · Browse ZIP 29154
- Phone
- 8037754469
- Fax
- 8037754981
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in SUMTER, SC
| Name | Credential | NPI |
|---|---|---|
| DR. SYLVIA LUCIA PARRA | M.D. | 1245221712 |
| MR. PHILLIP LANE LATHAM JR. | MD | 1437178548 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.