Individual
DR. ROBERT G HEWGLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1114 W MADISON AVE, ATHENS, TN 37303-4150
(423) 744-3256
Mailing address
1114 W MADISON AVE, ATHENS, TN 37303-4150
(423) 744-3256
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD13875
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57116
BCBST
TN
Enumeration date
07/19/2006
Last updated
07/08/2007
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