Provider Demographics
NPI:1073825204
Name:REYNOLDS, SARAH MORGAN (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MORGAN
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WRNMMC PEDS SUBSPECIALTY CLINIC
Mailing Address - Street 2:4855 SOUTH PALMER RD
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889
Mailing Address - Country:US
Mailing Address - Phone:301-400-1725
Mailing Address - Fax:301-295-2420
Practice Address - Street 1:WRNMMC PEDS SUBSPECIALTY CLINIC
Practice Address - Street 2:4855 SOUTH PALMER RD
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889
Practice Address - Country:US
Practice Address - Phone:301-400-1725
Practice Address - Fax:301-295-2420
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101251863208000000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics