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Individual

NATISIA DORTHEA ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MEDICAL ASSISTANT

Contact information

Practice address
233 12TH ST STE 715A, COLUMBUS, GA 31901-2462
(706) 617-0785
Mailing address
2212 WATKINS DR, COLUMBUS, GA 31907-3427
(762) 241-5995

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
3747P1801X
Personal Care Attendant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0209198709142008
GA
Enumeration date
01/07/2022
Last updated
01/07/2022
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