Provider Demographics
NPI:1720348477
Name:CARDWELL, ROBIN B (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:B
Last Name:CARDWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 32861
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28232-2861
Mailing Address - Country:US
Mailing Address - Phone:704-355-3153
Mailing Address - Fax:704-355-1941
Practice Address - Street 1:910 ADAMS ST SE
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3730
Practice Address - Country:US
Practice Address - Phone:256-265-6512
Practice Address - Fax:256-265-6727
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL35128207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology