Provider Demographics
NPI:1619844818
Name:ROBINSON, EBONY S
Entity type:Individual
Prefix:
First Name:EBONY
Middle Name:S
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 MAIN ST FL 18
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2435
Mailing Address - Country:US
Mailing Address - Phone:803-250-1468
Mailing Address - Fax:803-537-3431
Practice Address - Street 1:1901 MAIN ST FL 18
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2435
Practice Address - Country:US
Practice Address - Phone:803-250-1468
Practice Address - Fax:803-573-3431
Is Sole Proprietor?:No
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC246R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246R00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Pathology