Healthcare Provider Details

I. General information

NPI: 1003523739
Provider Name (Legal Business Name): ROBIN HAGY CARTER RN, BSN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2022
Last Update Date: 11/02/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 SEABOARD LN STE 201
BRENTWOOD TN
37027-3040
US

IV. Provider business mailing address

1957 NASHVILLE HWY
COLUMBIA TN
38401-7224
US

V. Phone/Fax

Practice location:
  • Phone: 615-261-1210
  • Fax:
Mailing address:
  • Phone: 615-419-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number0000059772
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: