Individual
DR. GLENN KELLY ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1473 CRINE BLVD, CAIRO, GA 39828-1430
(229) 377-9818
Mailing address
2807 HWY 84 EAST, CAIRO, GA 39828
(229) 377-9064
(229) 377-3926
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005262
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000851188A
—
GA
Enumeration date
11/16/2006
Last updated
04/09/2014
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