Individual
ROBIN BREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3370 INDIAN HILLS DR, MARIETTA, GA 30068-3254
(404) 694-8000
Mailing address
3370 INDIAN HILLS DR, MARIETTA, GA 30068-3254
(404) 694-8000
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PHCP010959
GA
Other
Enumeration date
11/16/2020
Last updated
06/17/2021
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