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General NPI Number Information
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NPI Number | 1710096417
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Entity Type | Individual
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Provider Name | RONALD CRAIG REESE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1901 TATE SPRINGS RD
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City | LYNCHBURG
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State | VA
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Zip | 24501-1109
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Country | US
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Telephone | 434-200-5047
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Fax |
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Provider Business Mailing Address
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Address Line | 5220 GREENS DAIRY RD
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City | RALEIGH
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State | NC
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Zip | 27616-4612
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Country | US
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Telephone | 919-503-4456
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Fax | 919-503-4406
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA05157400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 101052791
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME95248
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License Number State | FL
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