Individual
DR. MICHAEL LEO REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 GLENWOOD DR, SUITE E688, CHATTANOOGA, TN 37404-1163
(423) 648-1148
(423) 643-2217
Mailing address
PO BOX 80458, CHATTANOOGA, TN 37414-7458
(423) 495-7580
(423) 495-7589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000019635
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089721
BLUE CROSS/BLUE SHIELD
TN
01
—
010025756
RAIL ROAD MEDICARE
TN
01
—
621387786
PRIVATE PAYER
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
05/04/2006
Last updated
06/29/2010
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