Individual
DR. AMANDA HALE REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
110 HUFFARD DR, BLUEFIELD, VA 24605-9209
(276) 322-2222
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 778-7812
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0116020743
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124289582
—
VA
05
—
3810026948
—
WV
Enumeration date
06/18/2008
Last updated
01/28/2022
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