Provider Demographics
NPI:1356685036
Name:STINSON, ROBERT ALLEN JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALLEN
Last Name:STINSON
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:804 INLET SQUARE DR
Mailing Address - Street 2:UNIT B
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-7874
Mailing Address - Country:US
Mailing Address - Phone:843-652-5678
Mailing Address - Fax:843-652-5679
Practice Address - Street 1:804 INLET SQUARE DR
Practice Address - Street 2:UNIT B
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7874
Practice Address - Country:US
Practice Address - Phone:843-652-5678
Practice Address - Fax:843-652-5679
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDC.3785 DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor