Provider Demographics
NPI:1588763734
Name:RAWLINGS, MAURICE S JR (MD)
Entity type:Individual
Prefix:
First Name:MAURICE
Middle Name:S
Last Name:RAWLINGS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 GLENWOOD DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1108
Mailing Address - Country:US
Mailing Address - Phone:423-698-0304
Mailing Address - Fax:423-622-7068
Practice Address - Street 1:605 GLENWOOD DR
Practice Address - Street 2:SUITE 103
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1108
Practice Address - Country:US
Practice Address - Phone:423-698-0304
Practice Address - Fax:423-622-7068
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD 00000101562086X0206X
TN101562086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3183814Medicaid
TND 32151Medicare UPIN
TN3183814Medicaid
TN3183815Medicare ID - Type Unspecified