Provider Demographics
NPI:1447212584
Name:LABOD, ROBIN SUE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:SUE
Last Name:LABOD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1597
Mailing Address - Street 2:1539 HWY 17
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-1597
Mailing Address - Country:US
Mailing Address - Phone:843-249-9787
Mailing Address - Fax:843-249-9655
Practice Address - Street 1:1539 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-9224
Practice Address - Country:US
Practice Address - Phone:843-249-9787
Practice Address - Fax:843-249-9655
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1423111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGCH128Medicaid
SCU12121Medicare UPIN