Provider Demographics
NPI:1609130277
Name:ROBBINS, SEYWARD A (P A)
Entity Type:Individual
Prefix:MS
First Name:SEYWARD
Middle Name:A
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:P A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7068
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-0068
Mailing Address - Country:US
Mailing Address - Phone:757-686-3508
Mailing Address - Fax:757-686-0541
Practice Address - Street 1:2088 S INDEPENDENCE BLVD
Practice Address - Street 2:#103
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23453-4790
Practice Address - Country:US
Practice Address - Phone:757-275-9331
Practice Address - Fax:757-416-7656
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0110003937363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical