Individual
GUY FRANKLIN FAIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 PRENTICE LN, SIGNAL MOUNTAIN, TN 37377-2037
(423) 605-0629
(423) 517-0017
Mailing address
10 PRENTICE LN, SIGNAL MOUNTAIN, TN 37377-2037
(423) 605-0629
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD14797
TN
207Q00000X
Family Medicine Physician
Primary
MD14797
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000614083B
—
GA
05
—
3001403
—
TN
05
—
3001404
—
TN
01
—
3133610
BCBS OF TENNESSEE
TN
01
—
4150076
BLUE CROSS
TN
01
—
P00201541
RAILROAD MEDICARE
TN
Enumeration date
06/30/2006
Last updated
02/11/2020
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