Individual
SUSAN ROBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 WEST BLVD, CHESTERFIELD, SC 29709-1402
(843) 623-5080
Mailing address
500 WEST BLVD, CHESTERFIELD, SC 29709-1402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
955
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009555
—
SC
Enumeration date
08/18/2006
Last updated
01/28/2015
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