Provider Demographics
NPI:1659384253
Name:RHEAR, RAYMOND WAYNE (MD)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:WAYNE
Last Name:RHEAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 S BELLS ST
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TN
Mailing Address - Zip Code:38001
Mailing Address - Country:US
Mailing Address - Phone:731-696-5401
Mailing Address - Fax:731-696-5404
Practice Address - Street 1:59 S. BELLS ST
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TN
Practice Address - Zip Code:38001
Practice Address - Country:US
Practice Address - Phone:731-696-5401
Practice Address - Fax:731-696-5404
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000008006207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN080046419OtherRAIL ROAD MEDICARE
TN3153107Medicaid
TN4077897OtherBCBST
TN3153107Medicaid
TN080046419OtherRAIL ROAD MEDICARE