Individual
DR. ROY R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 N CEDAR AVE, COOKEVILLE, TN 38501-2421
(931) 783-5353
(931) 783-4994
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7610
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5590139
BCBS
TN
05
—
7100431530
—
KY
05
—
Q023465
—
TN
Enumeration date
07/27/2006
Last updated
05/27/2022
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