Provider Demographics
NPI:1912177148
Name:ROBERT E RHEA M D
Entity Type:Organization
Organization Name:ROBERT E RHEA M D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:F
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-792-8585
Mailing Address - Street 1:PO BOX 560
Mailing Address - Street 2:
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-0560
Mailing Address - Country:US
Mailing Address - Phone:615-792-8585
Mailing Address - Fax:615-792-8555
Practice Address - Street 1:202 N MAIN ST
Practice Address - Street 2:SUITE #9
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-1362
Practice Address - Country:US
Practice Address - Phone:615-792-8585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3718357Medicare PIN