Healthcare Provider Details

I. General information

NPI: 1972682177
Provider Name (Legal Business Name): SYLVIA MARIA ROBLES-MEYERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYLVIA MARIA ROBLES

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4665 MAIN ST SUITE 4
JASPER TN
37347
US

IV. Provider business mailing address

4665 MAIN ST SUITE 4
JASPER TN
37347
US

V. Phone/Fax

Practice location:
  • Phone: 423-942-1993
  • Fax: 423-942-6694
Mailing address:
  • Phone: 423-942-1993
  • Fax: 423-942-6694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD35834
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: