Individual
TYMETRIC ANTOIN ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
338 GREEN ST, MACON, MS 39341-2873
(662) 694-5726
Mailing address
338 GREEN ST, MACON, MS 39341-2873
(662) 694-5726
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
R411322
MS
Other
Enumeration date
12/15/2022
Last updated
10/23/2023
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