Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 2130 | WV |
N | 207QA0401X | Family Doctor - Addiction Medicine | 2130 | WV |
NPI | 1033297445 |
---|---|
Provider Name | E Michael Robie |
First Address | Charleston, WV 25304-1227 |
Second Address | Charleston, WV 25304-1227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 12/07/2021 |