Individual
DAVID LEE REAVES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
322 MILLEDGEVILLE HWY, GORDON, GA 31031-4177
(478) 628-4007
(478) 628-4007
Mailing address
P.O BOX 703, 322 MILLEDGEVILLE HIGHWAY, GORDON, GA 31031
(478) 628-4007
(478) 628-4007
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332B00000X
N/A
GA
Enumeration date
04/02/2014
Last updated
04/02/2014
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