Individual
DR. CHARLES DAVID ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2497 S ROANE ST, SUITE 260, HARRIMAN, TN 37748-8670
(865) 882-5252
(865) 882-5281
Mailing address
2497 S ROANE ST, SUITE 260, HARRIMAN, TN 37748-8670
(865) 882-5252
(865) 882-5281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC000251
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014531
BLUE CROSS& BLUE SHIELD
TN
Enumeration date
09/24/2006
Last updated
07/08/2007
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