Provider Demographics
NPI:1619101177
Name:TANT, ROBIN FAITH (RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:FAITH
Last Name:TANT
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 GOVERNMENT CIR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-8198
Mailing Address - Country:US
Mailing Address - Phone:252-902-2388
Mailing Address - Fax:252-413-1446
Practice Address - Street 1:201 GOVERNMENT CIR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-8198
Practice Address - Country:US
Practice Address - Phone:252-902-2388
Practice Address - Fax:252-413-1446
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC863029133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered