Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 8792 | NC |
NPI | 1518196849 |
---|---|
Provider Name | Dr. Robin Suzanne Strickland |
First Address | Statesville, NC 28625-2798 |
Second Address | Statesville, NC 28625-2798 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2009 |
Last Update Date | 24/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5916646 | (05) | NC |