MEDICARE: MS. DEBRA ROBINSON JONES D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2982	SC

General Provider Information

NPI Number	:	1265539746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA ROBINSON JONES D.C.

Provider Business Mailing Address
First Line	:	4209 MILL CREEK DRIVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29420-8412
Country	:	US
Telephone Number	:	843-207-8360
Fax Number	:

Provider Business Practice Location Address
First Line	:	4209 MILL CREEK DRIVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29420-8412
Country	:	US
Telephone Number	:	843-207-8360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2006
Last Update Date	:	07/08/2007

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