Individual
DR. RENE CARLOS DEL VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 MCMINNVILLE HWY, MANCHESTER, TN 37355-3179
(931) 450-5062
(931) 450-5063
Mailing address
PO BOX 389, MCMINNVILLE, TN 37111-0389
(931) 450-5062
(931) 450-5063
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD017200
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059542
TENNCARE SELECT
TN
01
—
01032602
AMERIGROUP
TN
05
—
3021346
—
TN
01
—
7440419
UNITED HEALTHCARE
TN
01
—
TN0101
AMERICHOICE
TN
Enumeration date
07/20/2006
Last updated
03/24/2014
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