Individual
ROBERT BRANNON PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 TED A CROZIER SR BLVD, CLARKSVILLE, TN 37043-8912
(931) 648-1699
Mailing address
1100 TED A CROZIER SR BLVD, CLARKSVILLE, TN 37043-8912
(931) 649-1699
(931) 552-0906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000029899
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110182883
RAILROAD MEDICARE
TN
01
—
3110193
BLUE CROSS
TN
05
—
3822381
—
TN
Enumeration date
10/01/2006
Last updated
09/15/2008
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