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Willard Roberson, CRNA
Specialist in Columbia, Tennessee
NPI 1568568681

Willard Roberson is a Specialist based in Montgomery, TN. Willard Roberson practices in Columbia, TN and has the professional credentials of CRNA. The NPI Number for Willard Roberson is 1568568681 and holds a License No. 36014 (Tennessee).

The current practice location address for Willard Roberson is 1224 Trotwood Ave, Columbia, TN and can be reached out via phone at 931-381-1111.

Location: 1224 Trotwood Ave, Columbia, TN, 36123-5022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568568681
Provider Name
Willard Roberson
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1224 Trotwood Ave, Columbia, TN, 36123-5022
Phone Number
931-381-1111
Fax Number
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3609681 05 TN
institution
Provider Business Practice Location Address Details
Address
1224 Trotwood Ave
City
Columbia
State
Tennessee
Zip
38401-4802
Phone Number
931-381-1111
Fax Number
person
Provider Business Mailing Address Details
Address
1224 Trotwood Ave
City
Columbia
State
Tennessee
Zip
38401-4802
Phone Number
931-381-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
36014 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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