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Individual
JACK T ROBERTS JR.
Active
Individual
JACK T ROBERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
09957
TN
208M00000X
Hospitalist Physician
Primary
MD09957
TN
Other
Enumeration date
06/10/2006
Last updated
05/12/2017
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