Healthcare Provider Details

I. General information

NPI: 1710004916
Provider Name (Legal Business Name): ROBERT GLENN LAYTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 COOL SPRINGS BLVD SUITE 800
FRANKLIN TN
37067-7289
US

IV. Provider business mailing address

730 COOL SPRINGS BLVD SUITE 800
FRANKLIN TN
37067-7289
US

V. Phone/Fax

Practice location:
  • Phone: 615-468-4000
  • Fax: 615-468-4406
Mailing address:
  • Phone: 615-468-4000
  • Fax: 615-468-4406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number39338
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number29827
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: