Individual
MS. GILLIAN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 LEGACY PARK DR, APT 2333, LAWRENCEVILLE, GA 30043-8715
(678) 682-3052
Mailing address
900 LEGACY PARK DR, APT 2333, LAWRENCEVILLE, GA 30043-8715
(678) 682-3052
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009259-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009259-1
NYS LICENSE #
NY
Enumeration date
09/07/2010
Last updated
09/07/2010
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