Individual
JECHILIAH ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
2105 GRAYSON CT, GRAYSON, GA 30017-1396
(678) 209-2301
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN087598
GA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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