Organization
STEPHEN D. RAINES
Active
Organization
STEPHEN D. RAINES
Active
Other names
Raines Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY W. RAINES (OFFICE MANAGER)
(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
213ES0103X
Foot & Ankle Surgery Podiatrist
DPM 658
TN
213ES0131X
Foot Surgery Podiatrist
Primary
DPM217
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548228620
NPI
TN
01
—
1568496172
NPI
TN
01
—
1790999456
DME NPI
TN
05
—
3350896
—
TN
05
—
3354277
—
TN
Enumeration date
03/09/2007
Last updated
11/21/2008
Update your record
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