Individual
DR. ALICIA SHUTE REAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2021 BRIDGEMILL DR STE 104, INDIAN LAND, SC 29707-9211
(803) 286-4676
(803) 289-6591
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013-01218
NC
207R00000X
Internal Medicine Physician
Primary
31839
SC
207R00000X
Internal Medicine Physician
LL31839
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619104981
—
NC
05
—
318392
—
SC
Enumeration date
06/15/2009
Last updated
09/17/2024
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