Individual
MR. ISRAEL ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DCA
Contact information
Practice address
2313 BRUCE AVE, SPARTANBURG, SC 29302-3414
(864) 279-7120
(864) 699-9775
Mailing address
2313 BRUCE AVE, SPARTANBURG, SC 29302-3414
(864) 279-7120
(864) 699-9775
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
B0002871
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247200000X
—
SC
Enumeration date
06/18/2014
Last updated
06/18/2014
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