Individual
TIMOTHY R ROADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2199 MEMORIAL DR, CLARKSVILLE, TN 37043-4447
(931) 245-8400
(931) 245-8465
Mailing address
PO BOX 3799, CLARKSVILLE, TN 37043-3799
(931) 245-8400
(931) 245-8465
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16464
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3015760
—
TN
Enumeration date
11/09/2005
Last updated
05/03/2013
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