Basic Information
Provider Information
NPI: 1447454715
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REAMES
FirstName: ALEXA
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 388
Address2:  
City: FISHERSVILLE
State: VA
PostalCode: 229390388
CountryCode: US
TelephoneNumber: 5409324629
FaxNumber: 5409324616
Practice Location
Address1: 79 N MEDICAL PARK DR
Address2:  
City: FISHERSVILLE
State: VA
PostalCode: 229392344
CountryCode: US
TelephoneNumber: 5402132525
FaxNumber: 5402132555
Other Information
ProviderEnumerationDate: 06/12/2007
LastUpdateDate: 06/28/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X0101251799VAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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