Provider Demographics
NPI:1407523699
Name:RAI, CAMERON MARIE (CPM)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:MARIE
Last Name:RAI
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 SUMPTER ST
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-2311
Mailing Address - Country:US
Mailing Address - Phone:931-292-9118
Mailing Address - Fax:931-903-1219
Practice Address - Street 1:621 SUMPTER ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-2311
Practice Address - Country:US
Practice Address - Phone:931-371-3074
Practice Address - Fax:931-903-1219
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN210200008176B00000X
TNCPM0000000104176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife