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Individual

MELISSA O ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-3655

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN16282
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003120537A MH
GA
05
003120537B MMSC
GA
05
003120537C PH
GA
05
003120537D PEH
GA
05
1526898
TN
01
4312955
BCBS OF TN
TN
01
P01042082
RAILROAD MEDICARE
Enumeration date
01/05/2012
Last updated
04/05/2023
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