Provider Demographics
NPI:1659144400
Name:STEWART, ROBIN EVETTE
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:EVETTE
Last Name:STEWART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 MIDDLEBY WAY
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-4668
Mailing Address - Country:US
Mailing Address - Phone:404-275-2341
Mailing Address - Fax:
Practice Address - Street 1:117 MIDDLEBY WAY
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-4668
Practice Address - Country:US
Practice Address - Phone:404-275-2341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide