Provider Demographics
NPI:1336490879
Name:ROBBINS PLASTIC SURGERY, PLC
Entity Type:Organization
Organization Name:ROBBINS PLASTIC SURGERY, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHADWELL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-401-6454
Mailing Address - Street 1:2201 MURPHY AVE
Mailing Address - Street 2:STE 407
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1835
Mailing Address - Country:US
Mailing Address - Phone:615-401-9454
Mailing Address - Fax:615-873-1934
Practice Address - Street 1:2201 MURPHY AVE
Practice Address - Street 2:STE 407
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1835
Practice Address - Country:US
Practice Address - Phone:615-401-9454
Practice Address - Fax:615-873-1934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45934208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1530191Medicaid
TN1530191Medicaid