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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
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