Individual
CALEB SLOAN RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
126 POLK STREET, BENTON, TN 37307
(423) 338-8995
(423) 338-8996
Mailing address
PO BOX 70, PALMER, TN 37365-0000
(931) 779-4002
(931) 779-4003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1558
TN
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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