Individual
REMY A VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3363 N HIGHLAND AVE, JACKSON, TN 38305-3487
(731) 668-9899
(731) 660-2121
Mailing address
PO BOX 419, MEDINA, TN 38355-0419
(731) 668-9899
(731) 660-2121
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
37511
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4116255
BLUE CROSS/ BLUE SHIELD
TN
Enumeration date
07/07/2006
Last updated
07/08/2007
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