Gregory, Robert Randolph

Gregory, Robert Randolph is an sole proprietor health care provider with primary practice located at 3214 Tazewell Pike Ste 206 , Knoxville TN 37918-2580. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gregory, Robert Randolph can be contacted via phone (865) 414-1848.

Contact Information

Primary practice address
3214 Tazewell Pike Ste 206 Knoxville TN 37918-2580
Phone: (865) 414-1848
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC2553 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X 2553 Tennessee

Profile Details

NPI number 1942349568
LBN Legal business name Gregory, Robert Randolph
Credentials LPC-MHSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Mar 17th, 2018 - about 8 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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