MEDICARE: MS. ROBIN A WHITTEN P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant
2	363A00000X	Physician Assistant	101051	NC

General Provider Information

NPI Number	:	1376762542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROBIN A WHITTEN P.A.

Provider Business Mailing Address
First Line	:	74 RIVER BEND RD
Second Line	:
City	:	SILER CITY
State	:	NC
Zip	:	27344-8387
Country	:	US
Telephone Number	:	919-542-4651
Fax Number	:

Provider Business Practice Location Address
First Line	:	7718 SYLVAN RD
Second Line	:
City	:	SNOW CAMP
State	:	NC
Zip	:	27349-9504
Country	:	US
Telephone Number	:	336-506-0631
Fax Number	:	336-376-9910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	08/10/2023

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Directions to “ MS. ROBIN A WHITTEN P.A.” Practice Location

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