Individual
MR. REESE ALEXANDER SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1500 GREENLAND DR, MURFREESBORO, TN 37132-3100
(615) 904-8303
Mailing address
MTSU PO BOX 77, MURFREESBORO, TN 37132-0001
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
0000002011
TN
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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