Provider Demographics
NPI:1285627109
Name:RHYNE, DAVID NELSON (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NELSON
Last Name:RHYNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E BRUNSON ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-2526
Mailing Address - Country:US
Mailing Address - Phone:334-393-3686
Mailing Address - Fax:334-347-4906
Practice Address - Street 1:101 E BRUNSON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-2526
Practice Address - Country:US
Practice Address - Phone:334-393-3686
Practice Address - Fax:334-347-4906
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9765207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51036205OtherBCBS OF ALABAMA
AL000036205Medicaid
AL000036205Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
AL000036205Medicaid