institution
Stephen D. Raines
Foot Surgery Podiatrist in Dyersburg, Tennessee
NPI 1962534677

Stephen D. Raines is a Foot Surgery Podiatrist based in Union City, TN and is specialized in Foot Surgery. Stephen D. Raines practices in Dyersburg, TN. The NPI Number for Stephen D. Raines is 1962534677 and holds a License No. DPM 658 (Tennessee).

The current practice location address for Stephen D. Raines is 1901 Cook St, Dyersburg, TN and can be reached out via phone at 731-286-2139 and via fax at 731-286-2201.

Location: 1901 Cook St, Dyersburg, TN, 38261-5812
institution
Provider Profile Details
NPI Number
1962534677
Provider Name
Stephen D. Raines
Credential
Provider Entity Type
Organization
Address
1901 Cook St, Dyersburg, TN, 38261-5812
Phone Number
731-286-2139
Fax Number
731-286-2201
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3350896 05 TN
1790999456 01 TN DME NPI
1548228620 01 TN NPI
3354277 05 TN
1568496172 01 TN NPI
institution
Provider Business Practice Location Address Details
Address
1901 Cook St
City
State
Zip
38024-1882
Phone Number
731-286-2139
Fax Number
731-286-2201
person
Provider Business Mailing Address Details
Address
1901 Cook St
City
State
Zip
38024-1882
Phone Number
731-286-2139
Fax Number
731-286-2201
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
DPM217 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
DPM 658 (Tennessee)
Definition
Definition to come...
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