Individual
DR. BOZMAN RELL REEVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 DOUGHTY ST, SUITE 370, CHARLESTON, SC 29403-5736
(843) 723-6111
(843) 723-0675
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1651
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
6247
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062470
—
SC
01
—
P00232319
RAILROAD MC PIN
SC
Enumeration date
04/25/2006
Last updated
06/18/2009
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