Individual
ROBERT J. POMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16615 HIGHWAY 104 N STE B, LEXINGTON, TN 38351-5753
(731) 968-0660
(731) 968-0007
Mailing address
1014 BELL STORE RD, GLEASON, TN 38229-6418
(731) 571-8960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD29910
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD29910
MEDICAL LICENSE
TN
05
—
Q055139
—
TN
Enumeration date
05/31/2005
Last updated
01/27/2021
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