Individual
MR. TIMOTHY L ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
(901) 682-9522
Mailing address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2183
(901) 682-9522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R369558
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
15036
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04134808
—
MS
01
—
1194040337
CHAMPUS/HUMANA TRICARE
TN
05
—
1521306
—
TN
05
—
186246001
—
AR
01
—
4265856
BLUE CROSS
TN
01
—
P00886622
RAILROAD MEDICARE
TN
Enumeration date
03/31/2010
Last updated
06/09/2011
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