Provider Demographics
NPI:1346296449
Name:ROBINSON, CAROLYN MCDANIEL (MS, RD)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:MCDANIEL
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 SALEEBY LOOP
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532-4665
Mailing Address - Country:US
Mailing Address - Phone:843-393-1682
Mailing Address - Fax:843-393-1685
Practice Address - Street 1:1520 FREEDOM BLVD
Practice Address - Street 2:FLORENCE HOME DIALYSIS UNIT - CKD SERVICES
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6040
Practice Address - Country:US
Practice Address - Phone:843-292-8440
Practice Address - Fax:843-292-9489
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL692664133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal