Individual
MR. RICHARD L RAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9304 BENNIE LN, OOLTEWAH, TN 37363-6917
(423) 954-1784
Mailing address
9304 BENNIE LN, OOLTEWAH, TN 37363-6917
(423) 954-1784
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9879
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3625086
—
TN
01
—
4055593
BLUECROSS
TN
01
—
430077867
RAILROAD MEDICARE
TN
Enumeration date
06/13/2006
Last updated
02/21/2014
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