Individual
JOHN R T REEVES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2060 CENTRAL AVE, AUGUSTA, GA 30904-4177
(706) 738-4442
(706) 738-3841
Mailing address
2060 CENTRAL AVE, AUGUSTA, GA 30904-4177
(706) 738-4442
(706) 738-3841
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
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