Organization
R. SHANE ROBERTS, M.D., INC.
Active
Parent organization
R. SHANE ROBERTS, M.D., INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
R. SHANE ROBERTS, M.D., INC.
Authorized official
RODNEY SHANE ROBERTS MD (OWNER/MD)
(423) 334-2222
Entity
Organization
Contact information
Practice address
398 N MAIN ST, DECATUR, TN 37322-7759
(423) 334-2222
(423) 334-2255
Mailing address
PO BOX 709, DECATUR, TN 37322-0709
(423) 334-2222
(423) 334-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
03/10/2022
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