Individual
RYAN LOYD ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD STE 900, ATLANTA, GA 30342
(678) 464-1216
Mailing address
40 PEACHTREE VALLEY RD NE APT 2315, ATLANTA, GA 30309-8011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002529
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BOC267711
BOC
—
Enumeration date
09/01/2016
Last updated
06/12/2018
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