MEDICARE: MOLLY COTNEY REEVES

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
1	363LF0000X	Family Nurse Practitioner	1-119834	AL

General Provider Information

NPI Number	:	1912356858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY COTNEY REEVES

Provider Business Mailing Address
First Line	:	1907 S COLLEGE ST STE 201
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36832-5906
Country	:	US
Telephone Number	:	334-203-6196
Fax Number	:	334-231-5093

Provider Business Practice Location Address
First Line	:	1907 S COLLEGE ST STE 201
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36832-5906
Country	:	US
Telephone Number	:	334-203-6196
Fax Number	:	334-539-5938

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2016
Last Update Date	:	07/05/2024

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Directions to “ MOLLY COTNEY REEVES ” Practice Location

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