Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 26089 | TN |
NPI | 1194719773 |
---|---|
Provider Name | Robin Anne Barron |
First Address | Chattanooga, TN 37402 |
Second Address | Chattanooga, TN 37402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 25/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F95020 | (02) | TN |