Healthcare Provider Details

I. General information

NPI: 1487608824
Provider Name (Legal Business Name): RHEA FAMILY PHYSICIANS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7794 RHEA COUNTY HWY STE 101
DAYTON TN
37321-5981
US

IV. Provider business mailing address

7794 RHEA COUNTY HWY STE 101
DAYTON TN
37321-5981
US

V. Phone/Fax

Practice location:
  • Phone: 423-775-4261
  • Fax: 423-570-2008
Mailing address:
  • Phone: 423-775-4261
  • Fax: 423-570-2008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STUART P BACON
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 423-775-4261