MEDICARE: BILLY GERALD ROBBINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD006690	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0140423	OTHER		UNITED HEALTH CARE
2	0186567	OTHER		BLUE CROSS
3	080079013	OTHER		PALMETTO GBA
4	4030379	OTHER		AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	7165	OTHER		TLC (MEMPHIS MANAGED CARE
7	115799	OTHER		BETTER HEALTH PLAN
8	4395118	OTHER		CIGNA
9	4176770	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1932193547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILLY GERALD ROBBINS MD

Provider Business Mailing Address
First Line	:	201 S FRONT ST
Second Line	:
City	:	HALLS
State	:	TN
Zip	:	38040-1547
Country	:	US
Telephone Number	:	731-836-5617
Fax Number	:	731-836-5284

Provider Business Practice Location Address
First Line	:	201 S FRONT ST
Second Line	:
City	:	HALLS
State	:	TN
Zip	:	38040-1547
Country	:	US
Telephone Number	:	731-836-5617
Fax Number	:	731-836-5284

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	03/09/2015

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