MEDICARE: DR. DAVID TOY RAHAMUT D.C.

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	111N00000X	Chiropractor	DC1813	TN

General Provider Information

NPI Number	:	1689611972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID TOY RAHAMUT D.C.

Provider Business Mailing Address
First Line	:	3771 GEORGETOWN RD NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-2565
Country	:	US
Telephone Number	:	423-790-1425
Fax Number	:	423-790-1426

Provider Business Practice Location Address
First Line	:	3771 GEORGETOWN RD NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-2565
Country	:	US
Telephone Number	:	423-790-1425
Fax Number	:	423-790-1426

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/24/2008

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