Individual
MR. ALAN W ROUNDTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1421 W BADDOUR PKWY, SUITE B, LEBANON, TN 37087-2513
(615) 449-6780
(615) 449-1929
Mailing address
1421 W BADDOUR PKWY, SUITE B, LEBANON, TN 37087-2513
(615) 449-6780
(615) 449-1929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD17582
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3024074
—
TN
Enumeration date
07/24/2006
Last updated
02/02/2009
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