Whalio Doctors

NPI 1013958917

Jack T Roberts, MD

Practitioner Hospitalist Physician Maryville, TN

Practice location

Address
907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015
Phone
(865) 980-4897
Fax
(865) 977-4793
Mailing address
103 W Broadway Ave, Maryville, TN 37801-4703

Registered specialties (2)

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence MD09957 (TN)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 09957 (TN)

Registry record

NPI
1013958917
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jun 2006
Record last updated
12 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.