Individual
MISS ROBERT ALAN BANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2428 KINGS ARMS DR NE, ATLANTA, GA 30345-2116
(770) 939-8399
Mailing address
2428 KINGS ARMS DR NE, ATLANTA, GA 30345-2116
(770) 939-8399
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1007022
FL
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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