Individual
ROBERT CHIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 LYNDHURST AVE, WINSTON SALEM, NC 27103-4007
(336) 765-0383
(336) 760-6918
Mailing address
3001 LYNDHURST AVE, WINSTON SALEM, NC 27103-4007
(336) 765-0383
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
32664
NC
207RP1001X
Pulmonary Disease Physician
Primary
32664
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197834000
—
WV
01
—
22354
BCBS
NC
01
—
37223
MEDCOST
NC
01
—
4198
PARTNERS
NC
01
—
5644077
AETNA
NC
05
—
6050646
—
VA
05
—
8922354
—
NC
05
—
Q32664
—
SC
Enumeration date
12/08/2005
Last updated
04/08/2013
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