DR. JERRY RAY REAVIS DC NPI 1649268905

NPI Information

DR. Jerry Ray Reavis, DC is a chiropractor in Winston Salem, NC. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Jerry Ray Reavis, DC NPI is 1649268905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3702 REYNOLDA RD
WINSTON SALEM, NC
ZIP 27106-232
Phone: (336) 925-1593
Fax: (336) 924-4333

The enumeration date for this NPI number is 10/11/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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