Basic Information
| Provider Information | |||||||||
| NPI: | 1306962618 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHRISMAN ROBBINS | ||||||||
| FirstName: | CAMARYN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4414 LAKE BOONE TRL STE 405 | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276077520 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198768225 | ||||||||
| FaxNumber: | 9198763371 | ||||||||
| Practice Location | |||||||||
| Address1: | 4414 LAKE BOONE TRL STE 405 | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276077520 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3143624211 | ||||||||
| FaxNumber: | 3143620049 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2007 | ||||||||
| LastUpdateDate: | 05/21/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 2012018822 | MO | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VX0000X | 2021-01594 | NC | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Obstetrics |
ID Information
| ID | Type | State | Issuer | Description | ENROLLED | 05 | IL | MEDICAID |