Provider Demographics
NPI:1265734461
Name:ROBBS, DAMION MIGAL
Entity type:Individual
Prefix:
First Name:DAMION
Middle Name:MIGAL
Last Name:ROBBS
Suffix:
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:PO BOX 483
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-0483
Mailing Address - Country:US
Mailing Address - Phone:864-490-1763
Mailing Address - Fax:
Practice Address - Street 1:2178 WALKER SOLOMON WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-1130
Practice Address - Country:US
Practice Address - Phone:864-490-1763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies