Individual
DR. PHILIP L ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
529 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1808
(270) 487-9231
(270) 487-5784
Mailing address
PO BOX 682985, FRANKLIN, TN 37068-2985
(615) 972-9700
(615) 369-6340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23857
TN
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
23857
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204367
BCBS
KY
05
—
009977130
—
AL
05
—
1804660000
—
WV
05
—
2273070
—
OH
05
—
3072989
—
TN
05
—
3838848
—
TN
01
—
4029412
BCBS
TN
05
—
64249790
—
KY
Enumeration date
07/04/2006
Last updated
08/21/2015
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