Individual
BRENT JOSPEH ROBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
7222 NORTHGATE DR E, TIFTON, GA 31794-1902
(229) 630-2724
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
255105
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN255105
GA
Other
Enumeration date
10/06/2022
Last updated
01/23/2023
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