Individual
DR. RACINE EDWARDS-SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9300 VALLEY CHILDRENS PL # FE16, MADERA, CA 93636-8761
(559) 353-6700
(559) 353-6710
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
54560
TN
207V00000X
Obstetrics & Gynecology Physician
C2452
KY
207VM0101X
Maternal & Fetal Medicine Physician
54560
TN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G87527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3714470
GROUP MEDICARE
TN
Enumeration date
06/28/2006
Last updated
06/06/2024
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