Individual
TABETHA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
415 E NORTH 5TH ST, SENECA, SC 29678-2701
(864) 324-2853
Mailing address
415 E NORTH 5TH ST, SENECA, SC 29678-2701
(864) 324-2853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
205626
SC
163WC0400X
Case Management Registered Nurse
205656
SC
163WC1500X
Community Health Registered Nurse
205656
SC
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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