Healthcare Provider Details

I. General information

NPI: 1922307446
Provider Name (Legal Business Name): CASEY REESE PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2011
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5720 OGEECHEE RD
SAVANNAH GA
31405-9503
US

IV. Provider business mailing address

13387 JONES ST
LAVONIA GA
30549-6708
US

V. Phone/Fax

Practice location:
  • Phone: 912-235-3425
  • Fax:
Mailing address:
  • Phone: 706-367-8828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH024968
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH024968
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: