Provider Demographics
NPI:1225630940
Name:JAMES, ROBIN ROSS JR
Entity Type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:ROSS
Last Name:JAMES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 BLUFFWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-3209
Mailing Address - Country:US
Mailing Address - Phone:804-647-8655
Mailing Address - Fax:
Practice Address - Street 1:6003 BLUFFWOOD CT
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-3209
Practice Address - Country:US
Practice Address - Phone:804-647-8655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver