Provider Demographics
NPI:1023178142
Name:ROBB, JEFFREY W (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:W
Last Name:ROBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2485 HEMBY LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3701
Mailing Address - Country:US
Mailing Address - Phone:252-752-2140
Mailing Address - Fax:888-787-2249
Practice Address - Street 1:2485 HEMBY LN
Practice Address - Street 2:SUITE A
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3701
Practice Address - Country:US
Practice Address - Phone:252-752-2140
Practice Address - Fax:888-787-2249
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2014-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC25742207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1023178142OtherTRICARE
NC8971991Medicaid
NCP00336916OtherRAILROAD MEDICARE
NC188162OtherMEDCOST
NC71991OtherBCBS
NC71991OtherBCBS
C86161Medicare UPIN