Rainbow Pediatric PC

NPI #1255474300 in Humboldt, Tennessee

Provider Information

NPI Number
1255474300
Entity Type
Organization
Organization Name
Rainbow Pediatric PC
Primary Specialty
Pediatrics
Enumeration Date
Feb 15, 2007
Last Updated
Aug 29, 2017

Practice Location

Address
1636 E MAIN ST
ZIP Code
38343-2904
Phone
(731) 784-7833

Authorized Official

Name
GINA M DIEUDONNE, MD
Title
OWNER
Phone
(731) 784-7833

Specialties & Taxonomy Codes

Specialty
Pediatrics

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