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Individual

DR. ROBERT MITCHELL ERMENTROUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 850-6186
Mailing address
172 HUNTINGTON RD NE, ATLANTA, GA 30309-1504
(404) 877-2707

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
74032
GA
2085R0202X
Diagnostic Radiology Physician
A118012
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
74032
GA
2085R0204X
Vascular & Interventional Radiology Physician
A118012
CA

Other

Enumeration date
04/28/2010
Last updated
01/08/2026
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