Individual
MR. RICHARD D. RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 SOUTH GLOSTER, SUITE A, TUPELO, MS 38801
(662) 767-4200
(662) 767-4204
Mailing address
1211 SOUTH GLOSTER, SUITE A, TUPELO, MS 38801
(662) 767-4200
(662) 767-4204
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD.41536
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
21555
MS
390200000X
Student in an Organized Health Care Education/Training Program
0116018373
VA
Other
Enumeration date
05/04/2007
Last updated
04/05/2021
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