Provider Demographics
NPI:1679794762
Name:REECE, TIMMOTHY CHRISTIAN (MD)
Entity type:Individual
Prefix:DR
First Name:TIMMOTHY
Middle Name:CHRISTIAN
Last Name:REECE
Suffix:
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 1:1600 W HOLLAND AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WHITE HALL
Mailing Address - State:AR
Mailing Address - Zip Code:71602-9241
Mailing Address - Country:US
Mailing Address - Phone:870-850-8055
Mailing Address - Fax:870-850-8056
Practice Address - Street 1:1600 W HOLLAND AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:WHITE HALL
Practice Address - State:AR
Practice Address - Zip Code:71602-9636
Practice Address - Country:US
Practice Address - Phone:870-850-8055
Practice Address - Fax:870-850-8056
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-5415207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine