Provider Demographics
NPI:1881988301
Name:ROBINSON, TAMMY ROWE
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:ROWE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4625 MILLERS LN
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2320
Mailing Address - Country:US
Mailing Address - Phone:804-382-2456
Mailing Address - Fax:
Practice Address - Street 1:4625 MILLERS LN
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-2320
Practice Address - Country:US
Practice Address - Phone:804-382-2456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator