Individual
JACKIE WADE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 8TH AVENUE DR SW, HICKORY, NC 28602-3452
(828) 851-6500
(828) 212-0402
Mailing address
207 8TH AVENUE DR SW, HICKORY, NC 28602-3452
(828) 851-6500
(828) 212-0402
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NC
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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