Individual
DR. MICHAEL LEO REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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