Provider Demographics
NPI:1861571408
Name:FRANCE, ROBIN M (DPM)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:M
Last Name:FRANCE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-2267
Mailing Address - Country:US
Mailing Address - Phone:336-786-9430
Mailing Address - Fax:336-786-5398
Practice Address - Street 1:200 N POINTE BLVD
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-2267
Practice Address - Country:US
Practice Address - Phone:336-786-9430
Practice Address - Fax:336-786-5398
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000754213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890807KMedicaid
15815OtherPARTNERS
62709OtherMEDCOST
0807KOtherBCBS
247432OtherMAMSI/OPTIMUM CHOICE
VAVA005874505Medicaid
U55252Medicare UPIN
2432742AMedicare ID - Type Unspecified