Individual
DR. WADE PARK REEVES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6041 TELECOM DR, MILAN, TN 38358-3448
(731) 686-1505
(731) 686-8174
Mailing address
6041 TELECOM DR, MILAN, TN 38358-3448
(731) 686-1505
(731) 686-8174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18091
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3043079
—
TN
Enumeration date
12/21/2005
Last updated
07/08/2007
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