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Individual
DENISE MARIE RIVERS
Active
Individual
DENISE MARIE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
DO1365
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3155223
BCBS
TN
05
—
3723987
—
TN
01
—
390007390
RAILROAD MEDICARE
TN
Enumeration date
09/09/2005
Last updated
08/21/2012
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