Individual
GREGORY J ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 S WILLOW AVE, COOKEVILLE, TN 38501-3138
(931) 526-9518
(931) 372-0087
Mailing address
105 S WILLOW AVE, COOKEVILLE, TN 38501-3138
(931) 526-9518
(931) 372-0087
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD036986
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3880848
—
TN
Enumeration date
09/30/2005
Last updated
05/14/2012
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