Individual
MR. ROBERT ALLAN HYSELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
110 BEECH FORK LN, WARTBURG, TN 37887-3024
(423) 223-1915
Mailing address
110 BEECH FORK LN, WARTBURG, TN 37887-3024
(423) 223-1915
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
155021
TN
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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