Individual
MR. DOUGLAS MACK ROBINSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4813 RIDGE RD # 113-624, DOUGLASVILLE, GA 30134-6117
(888) 518-3113
Mailing address
4813 RIDGE RD # 113-624, DOUGLASVILLE, GA 30134-6117
(888) 518-3113
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
060204330
GA
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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