Individual
DR. ROY RUSSELL REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 E WOODROW WILSON DRIVE, VA MED CENTER - PSYCHIATRY 11M, JACKSON, MS 39216
(601) 368-4152
(601) 364-1395
Mailing address
1500 E WOODROW WILSON DRIVE, VA MED CENTER - PSYCHIATRY 11M, JACKSON, MS 39216
(601) 368-4152
(601) 364-1395
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17349
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04088365
—
MS
Enumeration date
08/11/2006
Last updated
08/11/2020
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