Provider Demographics
NPI:1225077530
Name:ROBINSON, ROBERT J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2175 ASHLEY PHOSPHATE RD
Mailing Address - Street 2:STE G
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-4181
Mailing Address - Country:US
Mailing Address - Phone:843-723-0357
Mailing Address - Fax:843-722-4880
Practice Address - Street 1:2175 ASHLEY PHOSPHATE RD
Practice Address - Street 2:STE G
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-4181
Practice Address - Country:US
Practice Address - Phone:843-723-0357
Practice Address - Fax:843-722-4880
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC09520207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC095202Medicaid
SCD74138Medicare PIN
SC095202Medicaid