Individual
DR. ROBERT EARL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11625 CHANNING LN, KNOXVILLE, TN 37934-2654
(423) 333-9941
Mailing address
11625 CHANNING LN, KNOXVILLE, TN 37934-2654
(423) 333-9941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
025791
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3089236
—
TN
01
—
4121260
BLUE CROSS
TN
01
—
4121325
BLUE CROSS
TN
01
—
P00308378
RAILROAD MEDICARE
TN
Enumeration date
06/08/2006
Last updated
10/22/2012
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