Healthcare Provider Details

I. General information

NPI: 1659384253
Provider Name (Legal Business Name): RAYMOND WAYNE RHEAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 S. BELLS ST
ALAMO TN
38001
US

IV. Provider business mailing address

58 S BELLS ST
ALAMO TN
38001
US

V. Phone/Fax

Practice location:
  • Phone: 731-696-5401
  • Fax: 731-696-5404
Mailing address:
  • Phone: 731-696-5401
  • Fax: 731-696-5404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD0000008006
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: