Provider Demographics
NPI:1932464757
Name:ROBERTS, AARON D (DO)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:D
Last Name:ROBERTS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 E LAMAR ALEXANDER PKWY
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5001
Mailing Address - Country:US
Mailing Address - Phone:865-984-0900
Mailing Address - Fax:865-984-1035
Practice Address - Street 1:827 E LAMAR ALEXANDER PKWY
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5001
Practice Address - Country:US
Practice Address - Phone:865-984-0900
Practice Address - Fax:865-984-1035
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA071400207X00000X
390200000X
TN4650207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program