Provider Demographics
NPI:1588493522
Name:ROBINSON, AKWANZA UNIQUE (DC)
Entity type:Individual
Prefix:
First Name:AKWANZA
Middle Name:UNIQUE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 COUNTY ROAD 380
Mailing Address - Street 2:
Mailing Address - City:MAPLESVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36750-3423
Mailing Address - Country:US
Mailing Address - Phone:334-315-6477
Mailing Address - Fax:
Practice Address - Street 1:332 COUNTY ROAD 380
Practice Address - Street 2:
Practice Address - City:MAPLESVILLE
Practice Address - State:AL
Practice Address - Zip Code:36750-3423
Practice Address - Country:US
Practice Address - Phone:334-315-6477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor