Healthcare Provider Details

I. General information

NPI: 1285556928
Provider Name (Legal Business Name): ABIGAIL ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 EDENS RD
AFTON TN
37616-5801
US

IV. Provider business mailing address

750 EDENS RD
AFTON TN
37616-5801
US

V. Phone/Fax

Practice location:
  • Phone: 423-798-1749
  • Fax: 423-798-1755
Mailing address:
  • Phone: 423-798-1749
  • Fax: 423-798-1755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: