Organization
ENER DRIP IV INFUSION & MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARLYCE ROBINSON (OWNER)
(229) 319-8267
Entity
Organization
Contact information
Practice address
3993 LAWRENCEVILLE HWY NW STE 115, LILBURN, GA 30047-2831
(229) 319-8267
Mailing address
399 WAYWARD WIND DR SW, LILBURN, GA 30047-6433
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306853577
MEDICAL DIRECTOR
GA
Enumeration date
04/21/2021
Last updated
05/10/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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