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NPI Code Detail

MEDICARE: DONNY L REEVES MD

MEDICARE:   DONNY L REEVES  MD
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
1207W00000XOphthalmology Physician38547TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558390385
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNY L REEVES MD
Provider Business Mailing Address
First Line : PO BOX 6015
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37602-6015
Country : US
Telephone Number : 423-722-1311
Fax Number : 423-926-0529
Provider Business Practice Location Address
First Line : 2328 KNOB CREEK RD
Second Line : SUITE 506
City : JOHNSON CITY
State : TN
Zip : 37604-2584
Country : US
Telephone Number : 423-722-1311
Fax Number : 423-926-0529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 03/15/2016

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