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Organization

ROBERT ROBIDEAU DC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT GEORGE ROBIDEAU DC, DACNB (PRESIDENT)
(678) 795-0007
Entity
Organization

Contact information

Practice address
555 SUN VALLEY DR STE D4, ROSWELL, GA 30076-5622
(678) 795-0007
Mailing address
555 SUN VALLEY DR STE D4, ROSWELL, GA 30076-5622
(678) 795-0007

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
2470
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215112800
NPI FOR DR. ROBERT ROBIDEAU
GA
Enumeration date
04/22/2008
Last updated
04/22/2008
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