Provider Demographics
NPI:1871593061
Name:SANDERS, ROBYN NICHOLLE (MD)
Entity type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:NICHOLLE
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1593 YANCEYVILLE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-6948
Mailing Address - Country:US
Mailing Address - Phone:336-230-0402
Mailing Address - Fax:336-230-1761
Practice Address - Street 1:1593 YANCEYVILLE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6948
Practice Address - Country:US
Practice Address - Phone:336-230-0402
Practice Address - Fax:336-230-1761
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200001272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891279VMedicaid
NC2281306Medicare PIN
NCH28354Medicare UPIN