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Individual

SAMUEL GWIN ROBBINS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-BC

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 936-9177
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN0000013559
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
13559
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1513609
TN
01
4321826
BLUE CROSS-BLUE SHIELD
TN
01
P01021941
RR MEDICARE
TN
Enumeration date
06/18/2009
Last updated
03/31/2022
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