Healthcare Provider Details

I. General information

NPI: 1548266869
Provider Name (Legal Business Name): JAMES ALEXANDER ROBBINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 09/03/2013
Certification Date:
Deactivation Date: 03/15/2006
Reactivation Date: 03/29/2006

III. Provider practice location address

60 BEAR DRIVE
GREENVILLE SC
29605
US

IV. Provider business mailing address

1 INDEPENDENCE PT SUITE 212
GREENVILLE SC
29615-4545
US

V. Phone/Fax

Practice location:
  • Phone: 864-269-5500
  • Fax: 864-269-8568
Mailing address:
  • Phone: 864-797-6044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number9908
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: