Individual ProviderRobert W SilmonFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2204 Pavilion Dr, Suite 310, Kingsport, TN 37660-4657(423) 224-3900PECOS EnrollmentBased on the most recent information from CMS, provider Robert W Silmon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1851585517Provider TypeIndividualFull NameSilmon, Robert WCredentialMDGenderMaleSole ProprietorNoEnumeration Date9/5/2007Last Updated8/17/2011Contact InformationPractice LocationPractice Address2204 Pavilion Dr, Suite 310, Kingsport, TN 37660-4657Phone(423) 224-3900Fax(423) 224-3901Mailing LocationMailing Address2204 Pavilion Dr, Suite 310, Kingsport, TN 37660-4657Phone(423) 224-3900Fax(423) 224-3901Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense46757TennesseeCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID4290096DescriptionOtherIssuerBCBSTennesseeID1522872DescriptionMedicaidIssuerUnlistedTennessee