Medbery, Robena Elaine

Medbery, Robena Elaine is an individual health care provider with primary practice located at 2085 Henry Tecklenburg Dr Ste 106 , Charleston SC 29414-7711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Medbery, Robena Elaine can be contacted via phone (843) 958-2440.

Contact Information

Primary practice address
2085 Henry Tecklenburg Dr Ste 106 Charleston SC 29414-7711
Phone: (843) 958-2440
Fax: (843) 958-2599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 50976 Georgia
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD057979L Pennsylvania
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 25895 South Carolina

Profile Details

NPI number 1053364968
LBN Legal business name Medbery, Robena Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jun 3rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053364968 NPPES
Georgia Other 001381 BLUE CROSS/BLUE SHIELD
Georgia Other 002183 BLUE CROSS/BLUE SHIELD
Georgia MEDICAID 00941839B BLUE CROSS/BLUE SHIELD
Georgia MEDICAID 00941839E BLUE CROSS/BLUE SHIELD
Georgia Other 911235 BLUE CROSS/BLUE SHIELD
Georgia MEDICAID 00941839A BLUE CROSS/BLUE SHIELD
Georgia MEDICAID 258955 BLUE CROSS/BLUE SHIELD
Georgia MEDICAID 00941839C BLUE CROSS/BLUE SHIELD
Georgia MEDICAID 114381600 BLUE CROSS/BLUE SHIELD

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