Healthcare Provider Details

I. General information

NPI: 1245794189
Provider Name (Legal Business Name): DENISE L ROBINSON RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2019
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 POMONA DR STE L
GREENSBORO NC
27407-1642
US

IV. Provider business mailing address

302 POMONA DR STE L
GREENSBORO NC
27407-1642
US

V. Phone/Fax

Practice location:
  • Phone: 336-541-6475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: