Provider Demographics
NPI:1275604126
Name:ROBINSON, DOROTHY (QUALIFIED PROFESSION)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:QUALIFIED PROFESSION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6725
Mailing Address - Country:US
Mailing Address - Phone:910-455-1922
Mailing Address - Fax:
Practice Address - Street 1:317 CENTER ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6725
Practice Address - Country:US
Practice Address - Phone:910-455-1922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management