| NPI | 1962618488 |
|---|---|
| Doing Business As | STEPHEN D RAINES DPM |
| Entity Type | Organization |
| Authorized Contact | STEPHEN D RAINES Owner 731-885-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN DPM217) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-06-22 |