Healthcare Provider Details

I. General information

NPI: 1922027200
Provider Name (Legal Business Name): GILES WILLIAM ROBINSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 05/09/2022
Certification Date: 05/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 DANNY THOMAS PL MAILSTOP 260 - ST JUDE CHILDREN'S RESEARCH HOSPITAL
MEMPHIS TN
38105-3678
US

IV. Provider business mailing address

262 DANNY THOMAS PL # MS 260
MEMPHIS TN
38105-3678
US

V. Phone/Fax

Practice location:
  • Phone: 901-595-3026
  • Fax:
Mailing address:
  • Phone: 901-595-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number44209
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number47666
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: