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NPI Code Detail

MEDICARE: DR. AMY CAROL REEVES M.D.

MEDICARE: DR. AMY CAROL REEVES M.D.
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
1207P00000XEmergency Medicine PhysicianE3979AR
2207Q00000XFamily Medicine PhysicianE-3979AR

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 : 1831103050
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY CAROL REEVES M.D.
Provider Business Mailing Address
First Line : 2605 ALBERT PIKE RD
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-4514
Country : US
Telephone Number : 501-767-1144
Fax Number :
Provider Business Practice Location Address
First Line : 2605 ALBERT PIKE RD
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-4514
Country : US
Telephone Number : 501-767-1144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/26/2010

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