Individual
DOUGLAS ALLEN REEVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10630 CLEMSON BLVD, STE 100, SENECA, SC 29678-4546
(864) 482-6000
(864) 482-7000
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
19576
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G44068
—
SC
Enumeration date
03/24/2006
Last updated
05/12/2015
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