Individual
LEAH RENEE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT/ATC, CSCS
Contact information
Practice address
201 E GREENE ST, MILLEDGEVILLE, GA 31061-3398
(478) 387-7196
Mailing address
1820 N RIDGE DR UNIT B, MILLEDGEVILLE, GA 31061-2290
(478) 456-0741
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003860
GA
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BOC376216
BOARD OF CERTIFICATION
—
Enumeration date
01/16/2019
Last updated
08/03/2021
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