Provider Demographics
NPI:1447256490
Name:FERLAND, ROBERT GUY (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GUY
Last Name:FERLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3438 FOREST PARK RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-5731
Mailing Address - Country:US
Mailing Address - Phone:615-708-7546
Mailing Address - Fax:629-208-6008
Practice Address - Street 1:3024 BUSINESS PARK CIR
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3132
Practice Address - Country:US
Practice Address - Phone:615-239-2294
Practice Address - Fax:629-208-6008
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN24985207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3081844Medicaid
TN185437OtherBCBS OF TN
TN621560700OtherTAX ID
TNF76543Medicare UPIN
TN3081844Medicaid