| The Robinson Group | |
|
6263 Poplar Ave Suite 1052 Memphis TN 38119-4701 | |
| (901) 761-6157 | |
| Not Available |
| Full Name | The Robinson Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 6263 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Wiley T Robinson (OWNER DIRECTOR) |
| Authorized Official Contact | 9017616157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Robinson Group Po Box 17216 Memphis TN 38187-0216 Ph: (901) 761-6157 | The Robinson Group 6263 Poplar Ave Suite 1052 Memphis TN 38119-4701 Ph: (901) 761-6157 |
| NPI Number | 1174538086 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 02/04/2008 |
| Medicare PECOS PAC ID | 9032201686 |
|---|---|
| Medicare Enrollment ID | O20070827000941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174538086 | NPI | - | NPPES |
| 3389265 | Medicaid | TN | |
| 09014770 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wiley T Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073505228 PECOS PAC ID: 6507958154 Enrollment ID: I20070827000917 |
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