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Individual

KEISHA ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
840 PINE STREET, SUITE 900, MACON, GA 31201
(478) 742-8466
Mailing address
PO BOX 26040, MACON, GA 31221
(478) 475-1299
(478) 405-7928

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
045037
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000866566C
GA
Enumeration date
09/16/2006
Last updated
07/08/2007
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