MEDICARE: ROBERT EUGENE RHEA M.D.

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	207Q00000X	Family Medicine Physician	MD0000018217	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00274910	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3144125	OTHER	TN	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4004428	OTHER	TN	BCBS OF TN & TNCARE

General Provider Information

NPI Number	:	1962409433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT EUGENE RHEA M.D.

Provider Business Mailing Address
First Line	:	202 N MAIN ST
Second Line	:	SUITE #9
City	:	ASHLAND CITY
State	:	TN
Zip	:	37015-1362
Country	:	US
Telephone Number	:	615-792-8585
Fax Number	:	615-792-8555

Provider Business Practice Location Address
First Line	:	202 N MAIN ST
Second Line	:	#9
City	:	ASHLAND CITY
State	:	TN
Zip	:	37015-1362
Country	:	US
Telephone Number	:	615-792-8585
Fax Number	:	615-792-8555

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	02/16/2012

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Directions to “ ROBERT EUGENE RHEA M.D.” Practice Location

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