Individual
DR. ROBERT JAMES BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 FORT LOUDOUN MEDICAL CENTER DR, LENOIR CITY, TN 37772-5673
(865) 271-6000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38773
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3898364
—
TN
05
—
3898365
—
TN
01
—
4115086
BLUE CROSS
TN
01
—
4153997
BLUE CROSS
TN
01
—
P00308363
RAILROAD MEDICARE
TN
Enumeration date
06/08/2006
Last updated
11/30/2007
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