Individual
DR. JERRY RAY REAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3702 REYNOLDA RD, WINSTON SALEM, NC 27106-2232
(336) 925-1593
(336) 924-4333
Mailing address
3702 REYNOLDA RD, WINSTON SALEM, NC 27106-2232
(336) 925-1593
(336) 924-4333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
641
NC
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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