Provider Demographics
NPI:1669728697
Name:REESE, CHASITY RENEE (DO)
Entity type:Individual
Prefix:DR
First Name:CHASITY
Middle Name:RENEE
Last Name:REESE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1038
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31902-1038
Mailing Address - Country:US
Mailing Address - Phone:706-660-6410
Mailing Address - Fax:706-660-2847
Practice Address - Street 1:7830 VETERANS PKWY
Practice Address - Street 2:SUITE H
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-4972
Practice Address - Country:US
Practice Address - Phone:706-320-8881
Practice Address - Fax:706-320-8885
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA71944207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine