Provider Demographics
NPI:1083917710
Name:MCINTIRE, RAYMOND GUY III (DPH)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:GUY
Last Name:MCINTIRE
Suffix:III
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:310 GREAT CIRCLE RD
Mailing Address - Street 2:4TH FLOOR WEST
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37243-1700
Mailing Address - Country:US
Mailing Address - Phone:615-507-6497
Mailing Address - Fax:615-312-0871
Practice Address - Street 1:310 GREAT CIRCLE RD
Practice Address - Street 2:4TH FLOOR WEST
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-1700
Practice Address - Country:US
Practice Address - Phone:615-507-6497
Practice Address - Fax:615-312-0871
Is Sole Proprietor?:No
Enumeration Date:2010-12-20
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35009183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist