Provider Demographics
NPI:1891754578
Name:PAINTER, BILLY FOLLIS (RPH)
Entity Type:Individual
Prefix:MR
First Name:BILLY
Middle Name:FOLLIS
Last Name:PAINTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 THOROUGHBRED LN
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37074-3559
Mailing Address - Country:US
Mailing Address - Phone:615-374-0738
Mailing Address - Fax:615-644-6035
Practice Address - Street 1:145 THOROUGHBRED LN
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37074-3559
Practice Address - Country:US
Practice Address - Phone:615-374-0738
Practice Address - Fax:615-644-6035
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNC4119183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist