# SUMMERVILLE INTERNAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578603056
- **Authorized official:** DR. RUSSELL L ROBINSON M.D. (OWNER)
- **Authorized official phone:** (843) 875-6541

## Contact information

- **Practice address:** 1710 OLD TROLLEY RD STE C, SUMMERVILLE, SC 29485-8281
- **Practice address phone:** (843) 875-6541
- **Practice address fax:** (843) 875-5106
- **Mailing address:** 1710 OLD TROLLEY RD STE C, SUMMERVILLE, SC 29485-8281
- **Mailing address phone:** (843) 875-6541
- **Mailing address fax:** (843) 875-5106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 15583 | SC | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020