Basic Information
| Provider Information | |||||||||
| NPI: | 1396789814 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROBINSON | ||||||||
| FirstName: | EDWARD | ||||||||
| MiddleName: | NORWOOD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 13605 | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274153605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3365471877 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1200 N ELM ST | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274011004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368328062 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 33293 | NC | X | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0200X | 33293 | NC | X | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
ID Information
| ID | Type | State | Issuer | Description | 3594 | 01 | NC | PARTNERS MEDICARE CHOICE | OTHER | 4316184 | 01 | NC | AETNA | OTHER | 8972634 | 05 | NC | MEDICAID | 72634 | 01 | NC | BCBS NC | OTHER | 35268 | 01 | NC | MEDCOST | OTHER |