Provider Demographics
NPI:1871116780
Name:CALHOUN, ROBIN ELAINE (HOME HEALTH CARE)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:ELAINE
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:HOME HEALTH CARE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5879 LEONE DR W
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31206-8223
Mailing Address - Country:US
Mailing Address - Phone:478-718-7898
Mailing Address - Fax:478-405-0339
Practice Address - Street 1:5879 LEONE DR W
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31206-8223
Practice Address - Country:US
Practice Address - Phone:478-718-7898
Practice Address - Fax:478-405-0339
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth