Basic Information
Provider Information
NPI: 1316250301
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROBINSON
FirstName: GAIL
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 744786
Address2:  
City: ATLANTA
State: GA
PostalCode: 303744786
CountryCode: US
TelephoneNumber: 7048342450
FaxNumber: 7046715331
Practice Location
Address1: 2525 COURT DR
Address2:  
City: GASTONIA
State: NC
PostalCode: 28054
CountryCode: US
TelephoneNumber: 7048342000
FaxNumber: 7048342500
Other Information
ProviderEnumerationDate: 07/19/2010
LastUpdateDate: 09/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XLL33037SCN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X2017-01801NCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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