Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD.15275 | AL |
NPI | 1003873670 |
---|---|
Provider Name | George C Robinson |
First Address | Gadsden, AL 35903-1134 |
Second Address | Gadsden, AL 35903-1134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 28/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
193235 | (05) | AL |
D07319 | (02) | AL |