Individual
ROBERT W SILMON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2204 PAVILION DR, SUITE 310, KINGSPORT, TN 37660-4657
(423) 224-3900
(423) 224-3901
Mailing address
2204 PAVILION DR, SUITE 310, KINGSPORT, TN 37660-4657
(423) 224-3900
(423) 224-3901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46757
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522872
—
TN
01
—
4290096
BCBS
TN
Enumeration date
09/05/2007
Last updated
08/17/2011
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