Individual
DR. NICOLAS EDWARD ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7210 VILLAGE MEDICAL CIR STE 310, CLEMMONS, NC 27012-8041
(336) 277-4075
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-4075
(336) 277-4095
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200700570
NC
208C00000X
Colon & Rectal Surgery Physician
2007-00570
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007-00570
STATE LICENSE
NC
05
—
5907896
—
NC
Enumeration date
02/22/2007
Last updated
03/07/2023
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