Provider Demographics
NPI:1356312706
Name:MEADOWS, ROBIN S (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:S
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MEDICAL PARK DRIVE
Mailing Address - Street 2:DEPT OF EMERGENCY MEDICINE PALMETTO HEALTH RICHLAND
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:803-434-6690
Mailing Address - Fax:803-434-3946
Practice Address - Street 1:3 MEDICAL PARK DRIVE
Practice Address - Street 2:STE 350 PALMETTO HEALTH RICHLAND DEPT OF EMERGENCY MEDI
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-434-6690
Practice Address - Fax:803-434-3946
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC15021208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC150213Medicaid
SC150213Medicaid
F716717914Medicare ID - Type Unspecified