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Individual
DR. CHRISTOPHER SCOTT REAVILL
Active
Individual
DR. CHRISTOPHER SCOTT REAVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
201402245
NC
207P00000X
Emergency Medicine Physician
32415
SC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301086188
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014-02245
NC LICENSE
NC
01
—
32415
LICENSE
SC
Enumeration date
09/05/2007
Last updated
05/11/2015
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