Provider Demographics
NPI:1780053397
Name:LINDSEY, ROBERT L III
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:LINDSEY
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3917 VOLUNTEER DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416-3876
Mailing Address - Country:US
Mailing Address - Phone:423-702-3639
Mailing Address - Fax:423-877-5855
Practice Address - Street 1:2 SANDSTONE DR
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-1805
Practice Address - Country:US
Practice Address - Phone:706-972-1702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other