Individual
DR. EVAN C REESE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1251 B RIBAUT RD, BEAUFORT, SC 29902
(843) 524-3015
(813) 524-3020
Mailing address
1251 B RIBAUT RD, BEAUFORT, SC 29902
(843) 524-3015
(813) 524-3020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD030154L
PA
207X00000X
Orthopaedic Surgery Physician
Primary
31372
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00641759-0001
—
PA
05
—
641759
—
PA
Enumeration date
06/15/2006
Last updated
06/18/2017
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