Provider Demographics
NPI:1851349989
Name:RANKINE, DAVID A (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:RANKINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37401-0150
Mailing Address - Country:US
Mailing Address - Phone:423-778-4261
Mailing Address - Fax:423-778-4262
Practice Address - Street 1:979 E 3RD ST
Practice Address - Street 2:SUITE B-1210
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2136
Practice Address - Country:US
Practice Address - Phone:423-778-4261
Practice Address - Fax:423-778-4262
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN266852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA13BDDQFMedicare PIN
GA202I138132Medicare PIN
TN3807072Medicare PIN
TNE43120Medicare UPIN