Individual
AMBER M REEVES-DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2003-01514
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10411777
—
VA
01
—
143TE
BCBS
—
01
—
192332
MEDCOST
—
05
—
3810008126
—
WV
05
—
5906324
—
NC
01
—
7923840
AETNA
—
01
—
808459
PARTNERS
—
01
—
P00397985
RR MEDICARE
—
Enumeration date
10/26/2006
Last updated
01/12/2012
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