Provider Demographics
NPI:1952350415
Name:ROBBINS, JOHN JAY (PA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:JAY
Last Name:ROBBINS
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Gender:M
Credentials:PA
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Mailing Address - Street 1:3333 BROOKVIEW HILLS BLVD
Mailing Address - Street 2:STE 104
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5661
Mailing Address - Country:US
Mailing Address - Phone:336-760-3007
Mailing Address - Fax:336-760-9334
Practice Address - Street 1:3333 BROOKVIEW HILLS BLVD
Practice Address - Street 2:STE 104
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-5661
Practice Address - Country:US
Practice Address - Phone:336-760-3007
Practice Address - Fax:336-760-9334
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2014-12-22
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Provider Licenses
StateLicense IDTaxonomies
NC100313363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCR49082Medicare UPIN