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NPI Code Detail

MEDICARE: WESLEY ROBINSON MD

MEDICARE: WESLEY ROBINSON MD
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
1207L00000XAnesthesiology Physician0028798NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750370664
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY ROBINSON MD
Provider Business Mailing Address
First Line : PO BOX 36351
Second Line :
City : CHARLOTTE
State : NC
Zip : 28236-6351
Country : US
Telephone Number : 704-377-5772
Fax Number : 704-377-3389
Provider Business Practice Location Address
First Line : 2001 VAIL AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28207-1219
Country : US
Telephone Number : 704-379-5956
Fax Number : 704-379-6218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 10/22/2007

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