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
Fax: (423) 209-9106
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891995940 NPPES
Tennessee MEDICAID 1508877

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