Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2006018887 | MO |
N | 111NI0900X | Internist | 2006018887 | MO |
N | 207R00000X | Internist | E-6133 | AR |
N | 111NI0900X | Internist | E-6133 | AR |
Y | 207R00000X | Internist | E6133 | AR |
Y | 111NI0900X | Internist | E6133 | AR |
N | 207RH0002X | Hospice and Palliative Medicine | E6133 | AR |
NPI | 1124228382 |
---|---|
Provider Name | Dr. Carolyn R Reeves |
First Address | Centeron, AR 72719 |
Second Address | Centeron, AR 72719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 06/11/2020 |