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Organization
RAINBOW PEDIATRIC PC
Active
Organization
RAINBOW PEDIATRIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA M DIEUDONNE MD (OWNER)
(731) 784-7833
Entity
Organization
Contact information
Practice address
3535 CHERE CAROL RD, HUMBOLDT, TN 38343-3634
(731) 784-7833
(731) 337-7000
Mailing address
1636 E MAIN STREET, HUMBOLDT, TN 38343
(731) 784-7833
(731) 784-7856
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
41750
TN
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/15/2007
Last updated
07/21/2026
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