Individual
MR. F RONALD ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1104 TUSCULUM BLVD, SUITE 114, GREENEVILLE, TN 37745-4091
(423) 639-0941
Mailing address
PO BOX 896138, CHARLOTTE, NC 28289-6138
(423) 639-0941
(423) 638-3401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000038372
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3052080
BC/BS
TN
05
—
3601078
—
TN
Enumeration date
04/08/2006
Last updated
09/15/2014
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