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Individual

ROBIN ONG GO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1330 BOILING SPRINGS RD, SUITE 2500, SPARTANBURG, SC 29303-4201
(864) 585-5433
(864) 591-4053
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
19036
SC
207K00000X
Allergy & Immunology Physician
9500596
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10068821
AMERIGROUP
SC
01
12964
BLUE CROSS BLUE SHIELD
NC
01
12964
AETNA
SC
05
190368
SC
05
8912964
NC
01
A1339
MEDCOST
SC
01
P01505892
RAILROAD MEDICARE
SC
01
SC54036084
MEDICARE PIN
SC
Enumeration date
10/26/2005
Last updated
01/08/2021
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