Organization
ROGER L LAND MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER LYNN LAND MD (PRESIDENT)
(423) 870-4435
Entity
Organization
Contact information
Practice address
2051B HAMILL RD, SUITE101, HIXSON, TN 37343-4085
(423) 870-4435
(423) 870-4685
Mailing address
2051B HAMILL RD, SUITE101, HIXSON, TN 37343-4085
(423) 870-4435
(423) 870-4685
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD21156
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3058053
—
TN
01
—
4012527
BLUE CROSS OT TN
TN
Enumeration date
01/12/2007
Last updated
07/06/2010
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