Individual
JAMI LYNN REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8 SHERIDAN SQ, STE 110, KINGSPORT, TN 37660-7478
(423) 408-1508
(423) 218-0138
Mailing address
8 SHERIDAN SQ, STE 110, KINGSPORT, TN 37660-7478
(423) 408-1508
(423) 218-0138
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4371
AZ
207N00000X
Dermatology Physician
Primary
DO2262
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530991
—
TN
Enumeration date
05/22/2007
Last updated
04/17/2013
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