| Robert Stetson, Md, Pllc | |
|
2650 Executive Park Nw Suite #3 Cleveland TN 37312-2746 | |
| (423) 473-2633 | |
| (423) 473-2643 |
| Full Name | Robert Stetson, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2650 Executive Park Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Robert Allan Stetson (PRESIDENT) |
| Authorized Official Contact | 4234732633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Stetson, Md, Pllc 2650 Executive Park Nw Suite #3 Cleveland TN 37312-2746 Ph: (423) 473-2633 | Robert Stetson, Md, Pllc 2650 Executive Park Nw Suite #3 Cleveland TN 37312-2746 Ph: (423) 473-2633 |
| NPI Number | 1326228602 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 02/25/2008 |
| Medicare PECOS PAC ID | 3072602291 |
|---|---|
| Medicare Enrollment ID | O20071211000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326228602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Tennessee) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 42758 (Tennessee) | Secondary |
| Provider Name | Robert A Stetson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891729927 PECOS PAC ID: 6305949710 Enrollment ID: I20071211000095 |
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