Organization
CENTER FOR FAMILY PSYCHIATRY PC
Active
Organization
CENTER FOR FAMILY PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B ROBERTSON JR. MD (MD PRESIDENT)
(865) 691-1165
Entity
Organization
Contact information
Practice address
10241 KINGSTON PIKE, SUITE 1 AND 2, KNOXVILLE, TN 37922-3240
(865) 691-1165
(865) 690-6042
Mailing address
10241 KINGSTON PIKE, SUITE 1 AND 2, KNOXVILLE, TN 37922-3240
(865) 691-1165
(865) 690-6042
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3722309
MEDICARE PTAN
—
Enumeration date
12/31/2007
Last updated
12/31/2007
Update your record
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