Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 44683 | TN |
N | 208000000X | Pediatrician | 44683 | TN |
NPI | 1013127729 |
---|---|
Provider Name | Dr. Wilson Scout Robinson JR. |
First Address | Knoxville, TN 37916-1111 |
Second Address | Knoxville, TN 37916-1111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 24/03/2011 |