Individual
JOHN EARL REAVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1870 CHACE DR STE 160, HOOVER, AL 35244-7104
(205) 733-7110
(205) 733-7859
Mailing address
1870 CHACE DR STE 160, HOOVER, AL 35244-7104
(205) 733-7110
(205) 733-7859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01069653A
IN
207Q00000X
Family Medicine Physician
38828
NC
207Q00000X
Family Medicine Physician
Primary
MD.15271
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138PA
NCBCBS
NC
05
—
89138PA
—
NC
Enumeration date
07/20/2006
Last updated
09/12/2019
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