Doctor Name: | MICHAEL L REEVES |
NPI Number: | 1386600880 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 4212 Carmichael Ct N Montgomery, AL - 361063621 |
Business Phone Number: | 3342138803 |
Business Fax Number: | 3342138815 |
Mailing Address: | 4212 Carmichael Ct N, MONTGOMERY |
State: | AL |
Postal Code: | 361063621 |
Phone Number: | 3342138803 |
Fax Number: | 3342138815 |
NPI Enumeration Date: | 04/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |