Provider Demographics
NPI:1790929222
Name:ROBINSON, TOMMIE MATTHEW III (MD)
Entity Type:Individual
Prefix:DR
First Name:TOMMIE
Middle Name:MATTHEW
Last Name:ROBINSON
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:6275 UNIVERSITY DR NW STE 37-506
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-1776
Mailing Address - Country:US
Mailing Address - Phone:256-213-1438
Mailing Address - Fax:256-467-8547
Practice Address - Street 1:3217 COVE LAKE RD SE
Practice Address - Street 2:
Practice Address - City:OWENS CROSS ROADS
Practice Address - State:AL
Practice Address - Zip Code:35763
Practice Address - Country:US
Practice Address - Phone:256-203-4006
Practice Address - Fax:256-467-8547
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2019-10-04
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Provider Licenses
StateLicense IDTaxonomies
ALMD.30885207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program