Individual
DR. DOUG V REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1102 MARTHA BERRY BLVD NE, ROME, GA 30165-1612
(706) 291-4642
(706) 291-9644
Mailing address
1102 MARTHA BERRY BLVD NE, ROME, GA 30165-1612
(706) 291-4642
(706) 291-9644
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
963
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000004386A
—
GA
Enumeration date
01/17/2007
Last updated
11/17/2011
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