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Individual

DR. ANDY A ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
109 E CHURCH ST, GREENEVILLE, TN 37745-5603
(423) 638-4131
(423) 638-9239
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26381
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00006415
NHC HEALTH BENEFITS
01
3005285
BC BS TN
TN
05
3089112
TN
01
7
JOHN DEERE
TN
Enumeration date
08/25/2005
Last updated
04/25/2024
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