Individual
MRS. ROBIN DOMM BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1790 MULKEY RD STE 10, NEWBORN CLINICS OF AMERICA LLC AT WELLSTAR COBB CLINIC, AUSTELL, GA 30106-1122
(404) 606-0151
(770) 392-0180
Mailing address
1790 MULKEY ROAD STE 10 BLDG 10, NEWBORN CLINICS OF AMERICA LLC AT WELLSTAR COBB CLINIC, AUSTELL, GA 30106
(404) 606-0154
(678) 615-2107
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN065363 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624183405A
—
GA
Enumeration date
09/10/2008
Last updated
11/29/2011
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