NPI 1922047414

Stanley L. Roberts, PAC

Practitioner Physician Assistant Clinton, TN

Practice location

Address: 510 Melton Hill Dr, Clinton, TN 37716-7107
Phone: (865) 457-4027

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence MR0575754 (TN)

Other Physician Assistant providers in Tennessee →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA00015 (TN)

Registry record

NPI: 1922047414
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2006
Record last updated: 3 May 2013

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.