Individual
DR. JOHN WALLACE CAIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
930 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5136
(615) 673-6737
Mailing address
1404 WINTER DR, LEBANON, TN 37087-2530
(615) 790-2900
(615) 599-0718
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 016624
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04720840061
ME #
TN
Enumeration date
11/21/2006
Last updated
05/01/2018
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