Individual
DR. JERRY WAYNE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2750 LAUREL ST STE 303, COLUMBIA, SC 29204-2025
(803) 252-1953
(803) 217-6750
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12532
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125322
—
SC
Enumeration date
03/31/2006
Last updated
08/25/2021
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