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Individual

DR. ROBERT JOEL PERKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
990 OAK RIDGE TPKE, MMG OFFICE C/O METHODIST MEDICAL CENTER, OAK RIDGE, TN 37830-6976
(865) 835-4304
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9096
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3179296
TN
05
3179297
TN
01
4063749
BLUE CROSS
TN
01
4153905
BLUE CROSS
TN
01
P00349676
RAILROAD MEDICARE
TN
Enumeration date
06/14/2006
Last updated
11/30/2007
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