Organization
STEPHEN D RAINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN D RAINES D.P.M. (OWNER)
(731) 885-0220
Entity
Organization
Contact information
Practice address
1415 E REELFOOT AVE, UNION CITY, TN 38261-5812
(731) 885-0220
(731) 885-0216
Mailing address
1415 E REELFOOT AVE, UNION CITY, TN 38261-5812
(731) 885-0220
(731) 885-0216
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
DPM0000000217
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548228620
NPI
TN
01
—
1568496172
NPI
TN
01
—
1962618488
DME NPI
TN
05
—
3350895
—
TN
05
—
3354276
—
TN
05
—
3717524
—
TN
05
—
7100025780
—
KY
Enumeration date
11/15/2006
Last updated
10/24/2008
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