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Individual

DR. JULIE ELISABETH ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6389
(423) 431-6331
Mailing address
PO BOX 52990, GREENWOOD, SC 29649-0048
(864) 223-3600
(864) 223-6054

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD0000034931
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3866683
TN
01
4027782
BCBS
TN
05
64039266
KY
05
6609333
VA
Enumeration date
02/18/2006
Last updated
02/18/2008
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