Provider Demographics
NPI:1336109933
Name:FUERTES-HUNT, MELANIE ROBLES (MD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:ROBLES
Last Name:FUERTES-HUNT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MELANIE
Other - Middle Name:ROBLES
Other - Last Name:FUERTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 5629
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37802-5629
Mailing Address - Country:US
Mailing Address - Phone:865-273-1752
Mailing Address - Fax:865-273-1755
Practice Address - Street 1:451 BMH PHYSICIAN OFFICE BUILDING
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804
Practice Address - Country:US
Practice Address - Phone:865-981-2315
Practice Address - Fax:865-981-2302
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD00000368022084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH79278Medicare UPIN
TN3881187Medicare PIN