Provider Demographics
NPI:1205821907
Name:REEVES, CURTIS C JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:C
Last Name:REEVES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 EASTWAY DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-1427
Mailing Address - Country:US
Mailing Address - Phone:704-333-0799
Mailing Address - Fax:704-333-3253
Practice Address - Street 1:824 EASTWAY DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-1427
Practice Address - Country:US
Practice Address - Phone:704-333-0799
Practice Address - Fax:704-333-3253
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24940207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8970879Medicaid
NC24940OtherSTATE MEDICAL LICENSE
NC24940OtherSTATE MEDICAL LICENSE
NC8970879Medicaid