Robertson, George William

Robertson, George William is an individual health care provider with primary practice located at 1407 W Baddour Pkwy , Lebanon TN 37087-2513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Robertson, George William can be contacted via phone (615) 444-6203.

Contact Information

Primary practice address
1407 W Baddour Pkwy Lebanon TN 37087-2513
Phone: (615) 444-6203
Fax: (615) 444-6252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 05949 Tennessee

Profile Details

NPI number 1275591935
LBN Legal business name Robertson, George William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 12th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275591935 NPPES
Tennessee Other 3132335 BCBS
Tennessee MEDICAID 3155516 BCBS
Tennessee Other MD5949 BCBS
Tennessee Other 10833233 BCBS
Tennessee Other 244557 BCBS
Tennessee Other 4066832 BCBS

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