Raymond A Dieter III
Cardiothoracic Vascular Surgeon
1940 Alcoa Hwy Suite E310
Knoxville
, Tennessee 37920-2244
Raymond A Dieter III
Cardiothoracic Vascular Surgeon
1940 Alcoa Hwy Suite E310
Knoxville
, Tennessee 37920-2244
(865) 670-6188
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Raymond A Dieter III
- Po Box 440547
- Nashville, TN
- Zip : 37244-0547
- Fax : (865) 670-6188
- Phone : (865) 670-6199
Second Address
- Raymond A Dieter III
- 1940 Alcoa Hwy Suite E310
- Knoxville, TN
- Zip : 37920-2244
- Fax : (865) 637-5216
- Phone : (865) 305-6955
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 021978 | TN |
National Provider Identifier
| NPI | 1063405603 |
|---|---|
| Provider Name | Raymond A Dieter III |
| First Address | Nashville, TN 37244-0547 |
| Second Address | Knoxville, TN 37920-2244 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2005 |
| Last Update Date | 05/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G46788 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.