Provider Demographics
NPI:1144264037
Name:REEVES, TALMADGE CURLE (MD)
Entity type:Individual
Prefix:
First Name:TALMADGE
Middle Name:CURLE
Last Name:REEVES
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 1:233 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801
Mailing Address - Country:US
Mailing Address - Phone:410-749-0124
Mailing Address - Fax:410-546-4872
Practice Address - Street 1:233 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801
Practice Address - Country:US
Practice Address - Phone:410-749-0124
Practice Address - Fax:410-546-4872
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD132892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD040231100Medicaid
MD6938TCMedicare ID - Type Unspecified
MD040231100Medicaid