Organization
TENNESSEE PSYCHIATRY AND PSYCHOPHARMACOLOGY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND L PAINE JR. M.D. (PRESIDENT)
(865) 690-8190
Entity
Organization
Contact information
Practice address
9401 PARK WEST BLVD, KNOXVILLE, TN 37923-4202
(865) 690-8190
(865) 531-3536
Mailing address
9401 PARK WEST BLVD, KNOXVILLE, TN 37923-4202
(865) 690-8190
(865) 531-3536
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174524979
RR MEDICARE
—
01
—
CB8543
PALMETTO GBA
TN
Enumeration date
01/12/2007
Last updated
06/20/2008
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