Individual
ROBERT WILLIAM BYNUM IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2605 FOREST HILLS RD SW STE A, WILSON, NC 27893-4448
(252) 293-9898
(252) 293-9915
Mailing address
2605 FOREST HILLS RD SW STE A, WILSON, NC 27893-4448
(252) 293-9898
(252) 293-9915
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
24731
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20580
BLUE CROSS BLUE SHEILD
NC
05
—
8920580
—
NC
Enumeration date
02/06/2006
Last updated
05/11/2023
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