Healthcare Provider Details

I. General information

NPI: 1811300064
Provider Name (Legal Business Name): ROBYN HAYNES RESTREPO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 HOSPITAL DR
HIGHLANDS NC
28741-7623
US

IV. Provider business mailing address

PO BOX 602373
CHARLOTTE NC
28260-2373
US

V. Phone/Fax

Practice location:
  • Phone: 828-526-4346
  • Fax: 828-526-2914
Mailing address:
  • Phone: 828-526-1280
  • Fax: 828-526-1285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2017-01914
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2017-01914
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: