Individual
ROBERT S. AMONETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NORTHCREST DR, SPRINGFIELD, TN 37172-3927
(615) 384-1531
(615) 382-3823
Mailing address
PO BOX 3125, CLARKSVILLE, TN 37043-3125
(931) 647-5034
(931) 552-6663
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38892
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000565639
ANTHEM BCBS
KY
05
—
3338940
—
TN
01
—
4181780
BCBS PROVIDER NUMBER
TN
05
—
6412175900
—
KY
Enumeration date
06/16/2006
Last updated
07/28/2008
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