MEDICARE: RAINBOW PEDIATRIC PC

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
1	208000000X	Pediatrics Physician	41750	TN

General Provider Information

NPI Number	:	1255474300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAINBOW PEDIATRIC PC

Provider Business Mailing Address
First Line	:	1636 E MAIN STREET
Second Line	:
City	:	HUMBOLDT
State	:	TN
Zip	:	38343
Country	:	US
Telephone Number	:	731-784-7833
Fax Number	:	731-784-7856

Provider Business Practice Location Address
First Line	:	1636 E MAIN ST
Second Line	:
City	:	HUMBOLDT
State	:	TN
Zip	:	38343-2904
Country	:	US
Telephone Number	:	731-784-7833
Fax Number	:	731-660-8739

Authorized Official
Title or Position	:	OWNER
Name	:	GINA M DIEUDONNE
Credential	:	MD
Telephone Number	:	731-784-7833

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	08/29/2017

Similar Medicare Providers

1427030063 — GINA M DIEUDONNE MD
Practice Location Address:

1636 E MAIN ST
HUMBOLDT, TN
38343-2904

Practice Phone: 731-784-7833
Practice Fax: 731-784-7856

1972717072 — MICHELLE DUVALL BLANTON D.PH.
Practice Location Address:

1616 E MAIN ST
HUMBOLDT, TN
38343-2904

Practice Phone: 731-784-3610
Practice Fax: 731-784-9989

1689038630 — LAUREN DEAN MCKINNEY D.O.
Practice Location Address:

1636 E MAIN ST
HUMBOLDT, TN
38343-2904

Practice Phone: 731-784-7833
Practice Fax:

1689196560 — ELIZABETH JANE LOPEZ PHARMD
Practice Location Address:

1616 E MAIN ST
HUMBOLDT, TN
38343-2904

Practice Phone: 731-784-3610
Practice Fax:

1255057337 — VIRGINIA SCHWINDT
Practice Location Address:

1636 E MAIN ST
HUMBOLDT, TN
38343-2904

Practice Phone: 731-784-7833
Practice Fax: 731-784-7856

1952028680 — DR. TAMMY MARISA PATTON LCSW, ED.D
Practice Location Address:

1636 E MAIN ST
HUMBOLDT, TN
38343-2904

Practice Phone: 731-784-7833
Practice Fax:

Directions to “RAINBOW PEDIATRIC PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.