Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 009127 | GA |
Y | 207VX0000X | Obstetrician | 85420 | SC |
NPI | 1023549698 |
---|---|
Provider Name | William Miles Reeves IV |
First Address | Summerville, SC 29485-8154 |
Second Address | Summerville, SC 29485-8154 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2017 |
Last Update Date | 01/07/2021 |