Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 9900667 | NC |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 9900667 | NC |
NPI | 1578520821 |
---|---|
Provider Name | George Robison |
First Address | Wilmington, NC 28405-3685 |
Second Address | Wilmington, NC 28405-3685 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 04/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G89787 | (02) |