Individual
DR. CANDACE A ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
137 BLOUNT AVE, KNOXVILLE, TN 37901
(865) 632-5161
Mailing address
5230 HICKORY HOLLOW RD, KNOXVILLE, TN 37919-9300
(865) 558-3004
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26937
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3091698
—
TN
Enumeration date
07/12/2005
Last updated
07/08/2007
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