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NPI Code Detail

MEDICARE: MR. JOHN JAY ROBBINS P.A.

MEDICARE: MR. JOHN JAY ROBBINS P.A.
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
1363AM0700XMedical Physician Assistant100313NC

General Provider Information

NPI Number : 1952350415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN JAY ROBBINS P.A.
Provider Business Mailing Address
First Line : 280 BROAD ST
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-2796
Country : US
Telephone Number : 336-761-4020
Fax Number : 336-761-4051
Provider Business Practice Location Address
First Line : 3333 BROOKVIEW HILLS BLVD STE 104
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-5661
Country : US
Telephone Number : 336-761-4020
Fax Number : 336-761-4051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 04/07/2026

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