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Individual

SHAE ALA ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C, ATC

Contact information

Practice address
1661 W MCINTOSH RD, GRIFFIN, GA 30223-1717
(770) 223-4668
Mailing address
1095 E CONFEDERATE AVE SE UNIT DN, ATLANTA, GA 30316-2562
(313) 574-2179

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7159
GA

Other

Enumeration date
05/27/2014
Last updated
05/28/2014
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