Provider Demographics
NPI:1356813844
Name:ROBISON ADVANCED GYN SOLUTIONS PLLC
Entity Type:Organization
Organization Name:ROBISON ADVANCED GYN SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:ROBISON
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:910-509-0103
Mailing Address - Street 1:1135 MILITARY CUTOFF RD STE 103
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-3685
Mailing Address - Country:US
Mailing Address - Phone:910-509-0103
Mailing Address - Fax:
Practice Address - Street 1:1135 MILITARY CUTOFF RD STE 103
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-3685
Practice Address - Country:US
Practice Address - Phone:910-509-0103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty