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Individual
MR. REESE ALEXANDER SHIVERS
Active
Individual
MR. REESE ALEXANDER SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
0000002011
TN
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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