Individual
RAYMOND ANDREW DIETER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1940 ALCOA HWY STE 310, KNOXVILLE, TN 37920-2267
(865) 544-2800
(865) 544-6812
Mailing address
1940 ALCOA HWY STE 310, KNOXVILLE, TN 37920-2267
(865) 544-2800
(865) 544-6812
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
06/23/2023
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