institution
J. Gregory Roberts, Md, Rvt, Pc Dba Mantle Clinic Iii
Specialist in Knoxville, Tennessee
NPI 1609075464

J. Gregory Roberts, Md, Rvt, Pc Dba Mantle Clinic Iii is a Specialist based in Knoxville, TN. J. Gregory Roberts, Md, Rvt, Pc Dba Mantle Clinic Iii practices in Knoxville, TN. The NPI Number for J. Gregory Roberts, Md, Rvt, Pc Dba Mantle Clinic Iii is 1609075464 and holds a License No. 37706 (Tennessee).

The current practice location address for J. Gregory Roberts, Md, Rvt, Pc Dba Mantle Clinic Iii is 10810 Parkside Dr Ste 309, Knoxville, TN and can be reached out via phone at 865-218-6244 and via fax at 865-218-6245.

Location: 10810 Parkside Dr Ste 309, Knoxville, TN, 37934-1986
institution
Provider Profile Details
NPI Number
1609075464
Provider Name
J. Gregory Roberts, Md, Rvt, Pc Dba Mantle Clinic Iii
Credential
Provider Entity Type
Organization
Address
10810 Parkside Dr Ste 309, Knoxville, TN, 37934-1986
Phone Number
865-218-6244
Fax Number
865-218-6245
Provider Enumeration Date
07/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4069830 01 BCBS
64078132 05 KY
TN0101 01 TN JOHN DEERE HEALTH
institution
Provider Business Practice Location Address Details
Address
10810 Parkside Dr Ste 309
City
State
Zip
37934-1986
Phone Number
865-218-6244
Fax Number
865-218-6245
person
Provider Business Mailing Address Details
Address
10810 Parkside Dr Ste 309
City
State
Zip
37934-1986
Phone Number
865-218-6244
Fax Number
865-218-6245
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
37706 (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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