Individual
JOHN D. ROBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
101 WOODRUFF CIRCLE, WOODRUFF MEMORIAL RESEARCH BLDG., ROOM 7313, ATLANTA, GA 30322-0001
(404) 712-1774
(404) 712-0893
Mailing address
101 WOODRUFF CIRCLE, WOODRUFF MEMORIAL RESEARCH BLDG., ROOM 7313, ATLANTA, GA 30322-0001
(404) 712-1774
(404) 712-0893
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
041479
GA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
041479
GA
Other
Enumeration date
05/04/2006
Last updated
11/21/2018
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