Provider Demographics
NPI:1114939386
Name:PINSON, RICHARD D (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:PINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:800 MARKET ST
Mailing Address - Street 2:#316
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2632
Mailing Address - Country:US
Mailing Address - Phone:615-969-5228
Mailing Address - Fax:423-209-2830
Practice Address - Street 1:800 MARKET ST
Practice Address - Street 2:#316
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-2632
Practice Address - Country:US
Practice Address - Phone:615-969-5228
Practice Address - Fax:423-209-2830
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD11152207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB03965Medicare UPIN