Individual
MISS ELIZABETH JANE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.CCC-A
Contact information
Practice address
540 HEMLOCK ST, MACON, GA 31201-3202
(478) 741-1800
Mailing address
540 HEMLOCK ST, MACON, GA 31201-3202
(478) 741-1800
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003908
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AUD003908
GEORGIA STATE LICENSE
GA
Enumeration date
08/09/2012
Last updated
02/16/2022
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