Individual provider · Type 1 NPI

Detra Chambers Robinson, PA-C

Physician Assistant · Charlotte, NC

NPI number 1164709705 Active

Practice location

14215 Ballantyne Corporate Pl Ste 130
Charlotte, NC 28277-3671

Fax (704) 384-1955

Mailing address

751 Waterford Glen Way
Rock Hill, SC 29730-8009

Other practice locations

  • 10620 Park Rd Ste 202, Charlotte, NC 28210-0106 · (704) 468-0350

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-03089 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164709705

Detra Chambers Robinson, PA-C's National Provider Identifier is 1164709705, issued on Nov 10, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 19, 2026.