Individual
MR. ROBERT P FOGOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 141C, HENDERSONVILLE, TN 37075-2379
(615) 826-7171
(615) 826-7170
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD29374
TN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3815854
—
TN
Enumeration date
04/13/2006
Last updated
06/08/2020
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