Individual
CHARLENE Y ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1462 MONTREAL ROAD, SUITE 201, TUCKER, GA 30084-6931
(678) 580-5958
(770) 807-0978
Mailing address
1462 MONTREAL ROAD, SUITE 201, TUCKER, GA 30084-6931
(678) 580-5958
(770) 807-0978
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
034233
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000488903G
—
GA
Enumeration date
03/22/2007
Last updated
05/04/2017
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