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NPI Code Detail

MEDICARE: WENDY NANNETTE SAINT ROBBINS M.D.

MEDICARE: WENDY NANNETTE SAINT ROBBINS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician29496TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13066858OTHERBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588662704
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY NANNETTE SAINT ROBBINS M.D.
Provider Business Mailing Address
First Line : 304 CHURCH ST
Second Line :
City : SWEETWATER
State : TN
Zip : 37874-1181
Country : US
Telephone Number : 865-213-8593
Fax Number : 865-213-8596
Provider Business Practice Location Address
First Line : 304 CHURCH ST
Second Line :
City : SWEETWATER
State : TN
Zip : 37874-1181
Country : US
Telephone Number : 865-213-8593
Fax Number : 865-213-8596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 07/08/2007

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