Organization Name: | CHARLES C REEL, M.D. |
NPI Number: | 1972792109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES C REEL (CEO) |
Mailing Address: | 30065 Business Center Dr Ste 3 Charlotte Hall |
State: | MD US |
Postal Code: | 206223196 |
Phone Number: | 4107421717 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2007 |
NPI Last Update Date: | 10/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |