Individual
JOHN R T REEVES III
Active
Individual
JOHN R T REEVES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
050253
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00943654A
—
GA
01
—
4045714
AETNA HEALTH
GA
01
—
5991821
CIGNA HEALTHCARE
GA
01
—
702726
BLUE CROSS/BLUE SHIELD GA
GA
05
—
G50253
—
SC
Enumeration date
09/27/2005
Last updated
04/08/2008
Update your record
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