Individual
JACK T ROBERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 980-4897
(865) 977-4793
Mailing address
103 W BROADWAY AVE, MARYVILLE, TN 37801-4703
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
09957
TN
208M00000X
Hospitalist Physician
Primary
MD09957
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3161933
—
TN
Enumeration date
06/10/2006
Last updated
05/12/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us