Individual
DANITA A REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
702 PLANK RD, SOUTH HILL, VA 23970-2414
(434) 447-3395
(434) 447-4979
Mailing address
PO BOX 357, 702 PLANK ROAD, SOUTH HILL, VA 23970-0357
(434) 447-3395
(434) 447-4979
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000943
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010066573
—
VA
01
—
0964320001
DMEPOS CIGNA GOV. SERVICE
VA
01
—
105423
ANTHEM BCBS VA
VA
01
—
26977
OPTIMA HEALTH
VA
01
—
480018496
RAILROAD MEDICARE
VA
05
—
890801V
—
NC
Enumeration date
11/02/2005
Last updated
10/25/2010
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