Organization
CALLADERM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMI L REAVES D.O., F.A.O.C.D. (PHYSICIAN)
(423) 408-1504
Entity
Organization
Contact information
Practice address
8 SHERIDAN SQ, SUITE 110, KINGSPORT, TN 37660-7478
(423) 408-1504
Mailing address
8 SHERIDAN SQ, SUITE 110, KINGSPORT, TN 37660-7478
(423) 408-1504
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
DO0000002262
TN
Other
Enumeration date
12/21/2012
Last updated
04/17/2013
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