Individual
KENNETH W REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3614 J DEWEY GRAY CIR, STE A, AUGUSTA, GA 30909-6602
(706) 863-5635
(706) 860-3462
Mailing address
3614 J DEWEY GRAY CIR, STE A, AUGUSTA, GA 30909-6602
(706) 863-5635
(706) 860-3462
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
012129
GA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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