Individual
ROBSON S SPINOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
331 PEACHTREE ST, JESUP, GA 31545-0245
(912) 427-9990
(912) 427-9993
Mailing address
501 W ONEIDA ST, WAYCROSS, GA 31501-5337
(912) 283-6471
(912) 283-1618
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000904
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000955732B
—
GA
01
—
P00109461
RAILROAD MEDICARE
—
Enumeration date
06/18/2006
Last updated
08/20/2009
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