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Individual

RAYMOND B DEMOVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1525 HUNT CLUB BLVD STE 100, GALLATIN, TN 37066-6070
(615) 822-2177
(615) 822-0300
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
(615) 851-2018

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD0000034182
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103I045255
MEDICARE
TN
01
6123764
BCBS
TN
05
Q030576
TN
Enumeration date
06/14/2005
Last updated
04/21/2026
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