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MRS. DETRA CHAMBERS ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
14215 BALLANTYNE CORPORATE PL STE 130, CHARLOTTE, NC 28277-3671
(704) 384-1950
(704) 384-1955
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03089
NC

Other

Enumeration date
11/10/2011
Last updated
10/25/2020
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