Provider Demographics
NPI:1780669069
Name:NIX, STEPHANIE ROBBINS (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:ROBBINS
Last Name:NIX
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3483 NESTLING LN
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-7835
Mailing Address - Country:US
Mailing Address - Phone:803-547-5961
Mailing Address - Fax:
Practice Address - Street 1:1025 MOREHEAD MEDICAL ST
Practice Address - Street 2:SUITE 500
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2839
Practice Address - Country:US
Practice Address - Phone:704-355-6089
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS