Individual
MRS. DIANE ROBILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,NP,DMP
Contact information
Practice address
3521 GRANITE WAY, MARTINEZ, GA 30907-8969
(706) 863-9954
Mailing address
3521 GRANITE WAY, MARTINEZ, GA 30907-8969
(706) 863-9954
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN149275
GA
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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