Provider Demographics
NPI:1174958300
Name:CHRISTOPHER ERIC REAVES
Entity type:Organization
Organization Name:CHRISTOPHER ERIC REAVES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REAVES
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:205-746-1770
Mailing Address - Street 1:860 MONTCLAIR RD
Mailing Address - Street 2:SUITE 756
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1923
Mailing Address - Country:US
Mailing Address - Phone:205-591-8877
Mailing Address - Fax:205-591-8814
Practice Address - Street 1:860 MONTCLAIR RD
Practice Address - Street 2:SUITE 756
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1923
Practice Address - Country:US
Practice Address - Phone:205-591-8877
Practice Address - Fax:205-591-8814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies