Individual
DR. GEORGE WILLIAM ROBERTSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1407 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-6203
(615) 444-6252
Mailing address
1407 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-6203
(615) 444-6252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31453
TN
208000000X
Pediatrics Physician
31453
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020046097
MEDIARE RR
TN
01
—
10810638
CAQH
TN
01
—
2118384
UHC
TN
05
—
3844934
—
TN
01
—
4020554
BCBS
TN
01
—
7241259
CIGNA
TN
01
—
MD31453
LICENSE
TN
Enumeration date
05/03/2006
Last updated
03/26/2024
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