Provider Demographics
NPI:1457186108
Name:ROBINSON, TANGY (IHP)
Entity type:Individual
Prefix:
First Name:TANGY
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:IHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7812 SAGEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-5629
Mailing Address - Country:US
Mailing Address - Phone:839-223-2472
Mailing Address - Fax:
Practice Address - Street 1:3951 BELMONT RIDGE DR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-4071
Practice Address - Country:US
Practice Address - Phone:839-223-2472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171400000XOther Service ProvidersHealth & Wellness Coach