Provider Demographics
NPI:1962281410
Name:ROBINSON, IRIS (CNA)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 TIMBER DR
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532-5911
Mailing Address - Country:US
Mailing Address - Phone:843-409-8336
Mailing Address - Fax:
Practice Address - Street 1:2121 W PALMETTO ST STE B
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3938
Practice Address - Country:US
Practice Address - Phone:843-407-5976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide