MEDICARE: RITA JONES ROBINSON MD

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	207R00000X	Internal Medicine Physician	287226	SC

General Provider Information

NPI Number	:	1629088513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA JONES ROBINSON MD

Provider Business Mailing Address
First Line	:	PO BOX 2311
Second Line	:
City	:	CAMDEN
State	:	SC
Zip	:	29020-8006
Country	:	US
Telephone Number	:	803-425-4544
Fax Number	:

Provider Business Practice Location Address
First Line	:	1767 VILLAGE PARK DR
Second Line	:	VA OUTPATIENT CLINIC
City	:	ORANGEBURG
State	:	SC
Zip	:	29118-2475
Country	:	US
Telephone Number	:	803-533-5335
Fax Number	:

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/08/2007

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