Provider Demographics
NPI:1972686756
Name:ROBINSON, CYNTHIA KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:KAY
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CHARLES ROLLINS RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-0001
Mailing Address - Country:US
Mailing Address - Phone:252-433-0430
Mailing Address - Fax:252-492-5707
Practice Address - Street 1:120 CHARLES ROLLINS RD
Practice Address - Street 2:SUITE 206
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-0001
Practice Address - Country:US
Practice Address - Phone:252-433-0430
Practice Address - Fax:252-492-5707
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0037934174400000X
NC37934208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8014CAMedicaid
NCE14081Medicare UPIN
NC2352680CMedicare ID - Type Unspecified