Organization
BYRON PAUL REESE
Active
Other names
Reese Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON PAUL REESE (OWNER)
(229) 457-3011
Entity
Organization
Contact information
Practice address
172 WENONA WAY, FITZGERALD, GA 31750
(229) 635-2029
Mailing address
321 W CENTRAL AVE, FITZGERALD, GA 31750-2441
(229) 457-3011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO08160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511I350002
MEDICARE
GA
Enumeration date
12/05/2007
Last updated
06/27/2018
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