Individual
CHAD DAVID REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
188 HOSPITAL DR STE 402, FAIRHOPE, AL 36532-2018
(251) 990-1740
(251) 990-1831
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8158
(251) 690-8853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO.1567
AL
363A00000X
Physician Assistant
PA-463
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
512-04537
BCBS OF AL
AL
Enumeration date
09/15/2006
Last updated
06/28/2019
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