Mynatt, Robert George
Mynatt, Robert George is an sole proprietor health care provider with primary practice located at 1724 Hamill Road Ste 102, Oasis Park Building I, Hixson TN 37343-4905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mynatt, Robert George can be contacted via phone (423) 267-6738.Contact Information
Primary practice address
1724 Hamill Road Ste 102, Oasis Park Building I
Hixson TN 37343-4905
Phone: (423) 267-6738
Fax: (423) 209-9106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 2003015432 | Missouri |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD43601 | Tennessee |
Profile Details
| NPI number | 1891995940 |
|---|---|
| LBN Legal business name | Mynatt, Robert George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Jul 12th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891995940 | NPPES |
| Tennessee | MEDICAID | 1508877 |
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