Provider Demographics
NPI:1891565230
Name:ROBINSON, ROBERT LEE JR
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEE
Last Name:ROBINSON
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E RICHARDSON AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-7091
Mailing Address - Country:US
Mailing Address - Phone:843-759-1779
Mailing Address - Fax:
Practice Address - Street 1:600 E RICHARDSON AVE
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-7091
Practice Address - Country:US
Practice Address - Phone:843-759-1779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)