Individual
DR. RALEIGH MIXON ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1765 OLD WEST BROAD ST, ATHENS, GA 30606-2853
(706) 549-1663
(706) 546-8792
Mailing address
1765 OLD WEST BROAD ST BLDG 2-200, ATHENS, GA 30606-2887
(706) 549-1663
(706) 546-8792
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18726
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
18726
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10611319
CAQH NUMBER
—
Enumeration date
11/15/2005
Last updated
03/11/2024
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