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Organization

CLARK ROBINSON, M.D.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAMMY J ROBINSON M.D. (M.D.)
(770) 942-5111
Entity
Organization

Contact information

Practice address
6671 CHURCH ST, DOUGLASVILLE, GA 30134-1715
(770) 942-5111
(770) 920-8591
Mailing address
6671 CHURCH ST, DOUGLASVILLE, GA 30134-1715
(770) 942-5111
(770) 920-8591

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
034696
GA
207Q00000X
Family Medicine Physician
Primary
9601
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1508890401 (NPI)
DR. TAMMY J. ROBINSON
GA
01
1932133790 (NPI)
DR. CLARK ROBINSON
GA
Enumeration date
02/09/2007
Last updated
08/22/2020
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