Healthcare Provider Details

I. General information

NPI: 1235120437
Provider Name (Legal Business Name): ROBERT G DAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9550 HIGHWAY 412 W STE C
LEXINGTON TN
38351-5850
US

IV. Provider business mailing address

9550 HIGHWAY 412 W STE C
LEXINGTON TN
38351-5850
US

V. Phone/Fax

Practice location:
  • Phone: 731-968-1400
  • Fax: 731-968-1003
Mailing address:
  • Phone: 731-968-1400
  • Fax: 731-968-1003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2005-00933
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6042A
License Number StateWY
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0000058871
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: