Organization
J. GREGORY ROBERTS, MD, RVT, PC DBA MANTLE CLINIC III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN FREELS (PRACTICE MANAGER)
(865) 218-6244
Entity
Organization
Contact information
Practice address
10810 PARKSIDE DR STE 309, KNOXVILLE, TN 37934-1986
(865) 218-6244
(865) 218-6245
Mailing address
10810 PARKSIDE DR STE 309, KNOXVILLE, TN 37934-1986
(865) 218-6244
(865) 218-6245
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
37706
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4069830
BCBS
—
05
—
64078132
—
KY
01
—
TN0101
JOHN DEERE HEALTH
TN
Enumeration date
07/12/2007
Last updated
11/16/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us