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Individual

DAVID EUGENE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
(731) 423-4919
Mailing address
294 SUMMAR DR, DEPT 289, JACKSON, TN 38301-3915
(731) 265-8220
(731) 265-8355

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10295
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118312
BETTER HEALTH
TN
01
3031752
BLUE CROSS BLUE SHIELD TN
TN
05
3178084
TN
01
7814407
CIGNA
TN
01
9240
TLC
TN
Enumeration date
03/10/2006
Last updated
07/12/2007
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