Individual
TERRY ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
791 OAK ST, HAPEVILLE, GA 30354-1748
(404) 601-2000
(404) 559-0257
Mailing address
7245 MYETLE LANE, DOUGLASVILLE, GA 30134
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003629
GA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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