Provider Demographics
NPI:1255756052
Name:ROBINSON, CHINETA
Entity type:Individual
Prefix:
First Name:CHINETA
Middle Name:
Last Name:ROBINSON
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 1:324 VILLAGE RD NE STE A
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-9209
Mailing Address - Country:US
Mailing Address - Phone:910-399-6737
Mailing Address - Fax:
Practice Address - Street 1:324 VILLAGE RD NE STE A
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-9209
Practice Address - Country:US
Practice Address - Phone:910-399-6737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management