Roger L Land Md Pc

LBN: Roger L Land Md Pc
Roger L Land Md Pc is an health care organization with primary practice located at 2051B Hamill Rd Suite101, Hixson TN 37343-4085. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Roger L Land Md Pc can be contacted via phone (423) 870-4435, or through Land, Roger Lynn via phone (423) 870-4435.

Contact Information

Primary practice address
2051B Hamill Rd Suite101 Hixson TN 37343-4085
Phone: (423) 870-4435
Fax: (423) 870-4685
Website:
Map and Directions
Authorized official contact:
Name: Land, Roger Lynn Doctor of Medicine (MD)
Phone: (423) 870-4435

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD21156 Tennessee

Profile Details

NPI number 1003966656
LBN Legal business name Roger L Land Md Pc
DBA Doing business as
Authorized official Land, Roger Lynn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 6th, 2010 - about 15 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 1003966656 NPPES
Tennessee MEDICAID 3058053
Tennessee Other 4012527

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