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NPI Code Detail

MEDICARE: DR. SUSAN REYES MD

MEDICARE:  DR. SUSAN  REYES  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
1207R00000XInternal Medicine PhysicianMD42643TN

General Provider Information

NPI Number : 1902834203
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN REYES MD
Provider Business Mailing Address
First Line : 9901 SIERRA VISTA LN
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-5736
Country : US
Telephone Number : 865-599-0300
Fax Number : 865-321-8887
Provider Business Practice Location Address
First Line : 9901 SIERRA VISTA LN
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-5736
Country : US
Telephone Number : 865-599-0300
Fax Number : 865-321-8887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/25/2016

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Directions to “ DR. SUSAN REYES MD” Practice Location

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