Individual
DR. JOE R. TROOP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 SPARTA ST, MC MINNVILLE, TN 37110-1317
(931) 473-8400
(931) 473-0620
Mailing address
1514 SPARTA ST, MC MINNVILLE, TN 37110-1317
(931) 473-8400
(931) 473-0620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD5667
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08014732
RAILROAD MEDICARE
—
01
—
3719411
MEDICARE
TN
01
—
4121909
BLUE CROSS BLUE SHIELD
TN
Enumeration date
12/14/2005
Last updated
02/18/2008
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