Basic Information
| Provider Information | |||||||||
| NPI: | 1073556023 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | ROBIN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5651 FRIST BLVD | ||||||||
| Address2: | SUITE 717 | ||||||||
| City: | HERMITAGE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370762060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153169511 | ||||||||
| FaxNumber: | 6153169210 | ||||||||
| Practice Location | |||||||||
| Address1: | 2004 HAYES ST STE 140 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372032648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152845887 | ||||||||
| FaxNumber: | 6152845889 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2006 | ||||||||
| LastUpdateDate: | 06/13/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 25969 | TN | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 3086467 | 05 | TN | MEDICAID |