Individual provider

ROBERT LAND, PA

CMS NPPES lists ROBERT LAND as an individual provider record with NPI 1972148708. The current record reports a primary practice location in ABBEVILLE, GA and primary taxonomy code 363A00000X.

NPI 1972148708Record type Type 1Primary taxonomy 363A00000X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    417 BROAD ST SABBEVILLE, GA 310014305
  2. Additional practice location
    216 Edgefield Ave NWAiken, SC 298013910
  3. Additional practice location
    613 S Grant StFitzgerald, GA 317503315

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 363A00000XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
November 15, 2019

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.