Reeves, Gordon Reginald
Reeves, Gordon Reginald is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-3578. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Reeves, Gordon Reginald can be contacted via phone (336) 716-6674.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-3578
Phone: (336) 716-6674
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2007-00568 | North Carolina |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | 2007-00568 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD434416 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2007-00568 | North Carolina |
Profile Details
| NPI number | 1760687552 |
|---|---|
| LBN Legal business name | Reeves, Gordon Reginald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Aug 14th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760687552 | NPPES |
| Pennsylvania | MEDICAID | 1027229750001 | |
| Pennsylvania | MEDICAID | 0308234 |
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