Provider Demographics
NPI:1972863165
Name:TAYLOR, ROBIN MOREHEAD (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:MOREHEAD
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:MEREDITH
Other - Last Name:MOREHEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6215 HUMPHREYS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2382
Mailing Address - Country:US
Mailing Address - Phone:901-747-1200
Mailing Address - Fax:901-747-1220
Practice Address - Street 1:6215 HUMPHREYS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2382
Practice Address - Country:US
Practice Address - Phone:901-747-1200
Practice Address - Fax:901-747-1220
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS24378207V00000X
TN54416207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology