Healthcare Provider Details
I. General information
NPI: 1023859725
Provider Name (Legal Business Name): CURTIS SCOTT ROBINSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/05/2024
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 COLISEUM DRIVE
OXFORD MS
38677
US
IV. Provider business mailing address
218 SPRINGVIEW DR
ANDERSON SC
29625-5567
US
V. Phone/Fax
- Phone: 662-915-6684
- Fax:
- Phone: 864-314-5070
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | |
| License Number State | MS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: