Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 0102205423 | VA |
NPI | 1902288517 |
---|---|
Provider Name | Troy L Reece |
First Address | Abingdon, VA 24211-7664 |
Second Address | Abingdon, VA 24211-7664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2015 |
Last Update Date | 30/08/2018 |