Individual
SHONTAVIA LATRICE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S
Contact information
Practice address
5803 MEMPHIS ST, COLUMBUS, GA 31907-2923
(706) 332-5028
(888) 317-2710
Mailing address
PO BOX 6036, COLUMBUS, GA 31917-6036
(706) 332-5028
(888) 317-2710
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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