Doctor Name: | JAY BRIAN ROBARDS |
NPI Number: | 1104808179 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14512 |
Business Practice Address: | 316 Calhoun St Charlestown, SC - 29401 |
Business Phone Number: | 8437242000 |
Business Fax Number: | |
Mailing Address: | Po Box 2363, INDIANAPOLIS |
State: | IN |
Postal Code: | 462062363 |
Phone Number: | 8435734740 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2005 |
NPI Last Update Date: | 02/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 14512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |