Provider Demographics
NPI:1326794959
Name:WASHINGTON, ROBIN TAYLOR (CIHC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:TAYLOR
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:CIHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 GREEN SPRINGS HWY STE 161#364
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209
Mailing Address - Country:US
Mailing Address - Phone:205-569-7430
Mailing Address - Fax:
Practice Address - Street 1:1512 MAPLE AVE SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-5053
Practice Address - Country:US
Practice Address - Phone:205-569-7430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL87-1617880OtherINTERNAL REVENUE SERVICE