Mantle Clinic Iii

LBN: J. Gregory Roberts Md Rvt
Mantle Clinic Iii is an health care organization with primary practice located at 223 Andrew Dr , Oneida TN 37841. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. J. Gregory Roberts Md Rvt can be contacted via phone (865) 218-6244, or through Roberts, James Gregory via phone (865) 218-6244.

Contact Information

Primary practice address
223 Andrew Dr Oneida TN 37841
Phone: (865) 218-6244
Fax: (865) 218-6245
Website:
Map and Directions
Authorized official contact:
Name: Roberts, James Gregory MD RVT
Phone: (865) 218-6244

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 37706 Tennessee

Profile Details

NPI number 1629103635
LBN Legal business name J. Gregory Roberts Md Rvt
DBA Doing business as Mantle Clinic Iii
Authorized official Roberts, James Gregory MD RVT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629103635 NPPES
Tennessee Other RAILROAD MEDICARE RAILROAD MEDICARE
Tennessee Other $$$$$$$$$ RAILROAD MEDICARE
Tennessee Other BCBS RAILROAD MEDICARE
Tennessee Other 64078132 RAILROAD MEDICARE

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