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Organization

MARY REAMS MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONDA STONE (BILLING MANAGER)
(606) 329-0799
Entity
Organization

Contact information

Practice address
2430 WINCHESTER AVE STE B, ASHLAND, KY 41101-7879
(606) 329-0799
(606) 329-0947
Mailing address
PO BOX 2057, ASHLAND, KY 41105-2057
(606) 329-0799
(606) 329-0947

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20802
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64208028
KY
Enumeration date
08/16/2007
Last updated
12/15/2022
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