Individual
MR. SCOTT W REANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 461-1172
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(618) 527-7877
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
01/30/2019
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