Provider Demographics
NPI:1114060225
Name:BELT, ROBERT MORRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MORRIS
Last Name:BELT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:112 COLLEGE ST S
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37354-1472
Mailing Address - Country:US
Mailing Address - Phone:423-836-9550
Mailing Address - Fax:423-836-9551
Practice Address - Street 1:117 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SWEETWATER
Practice Address - State:TN
Practice Address - Zip Code:37874-2804
Practice Address - Country:US
Practice Address - Phone:865-836-9550
Practice Address - Fax:865-836-9551
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN34177207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4114505OtherBLUE CROSS ID NUMBER
TN4114505OtherBLUE CROSS ID NUMBER
TN061756073OtherTAX ID NUMBER