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NPI Code Detail

MEDICARE: DR. MARK ALLAN ROBINSON M.D.

MEDICARE: DR. MARK ALLAN ROBINSON M.D.
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
12085R0202XDiagnostic Radiology Physician0101235854VA

General Provider Information

NPI Number : 1841271509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ALLAN ROBINSON M.D.
Provider Business Mailing Address
First Line : 1061 HARMON AVE STE 1003
Second Line : WINN ARMY COMMUNITY HOSPITAL
City : FORT STEWART
State : GA
Zip : 31314-5611
Country : US
Telephone Number : 912-435-5297
Fax Number :
Provider Business Practice Location Address
First Line : 1061 HARMON AVE
Second Line : STE 1003
City : FORT STEWART
State : GA
Zip : 31314-5641
Country : US
Telephone Number : 912-435-5297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 07/06/2010

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