Organization
STEPHEN D RAINES
Active
Other names
Stephen D raines DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN D RAINES DPM (OWNER)
(731) 885-0220
Entity
Organization
Contact information
Practice address
1901 COOK ST, DYERSBURG, TN 38024-1882
(731) 286-2139
(731) 286-2201
Mailing address
1415 E REELFOOT AVE, UNION CITY, TN 38261-5812
(731) 885-0220
(731) 885-0216
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DPM217
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11030190002
DME SUPPLIER
TN
Enumeration date
05/10/2007
Last updated
06/22/2009
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