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NPI Code Detail

MEDICARE: DR. CHARLES DANIEL RAINBOLT DO

MEDICARE: DR. CHARLES DANIEL RAINBOLT DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician2671KY
2207Q00000XFamily Medicine Physician1442TN
3207P00000XEmergency Medicine PhysicianDO0000001442TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952355026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES DANIEL RAINBOLT DO
Provider Business Mailing Address
First Line : 430 S LAKE ST
Second Line :
City : PARIS
State : TN
Zip : 38242-4573
Country : US
Telephone Number : 270-293-6526
Fax Number :
Provider Business Practice Location Address
First Line : 430 S LAKE ST
Second Line :
City : PARIS
State : TN
Zip : 38242-4573
Country : US
Telephone Number : 731-642-3024
Fax Number : 731-642-3028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2006
Last Update Date : 12/03/2025

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Directions to “ DR. CHARLES DANIEL RAINBOLT DO” Practice Location

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