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Individual

DR. IRA CHARLES ROBINSON II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 EAGLES WALK, SUITE A, STOCKBRIDGE, GA 30281-6335
(770) 506-0100
(770) 507-2597
Mailing address
100 EAGLES WALK, SUITE A, STOCKBRIDGE, GA 30281-6335
(770) 506-0100
(770) 507-2597

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047830
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00932357A
GA
Enumeration date
09/28/2006
Last updated
06/07/2012
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