Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 26178 | GA |
NPI | 1114017449 |
---|---|
Provider Name | Dennis Allen Robinson |
First Address | Albany, GA 31707-1282 |
Second Address | Albany, GA 31707-1282 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 03/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000286371E | (05) | GA |
1093997447 | GROUP NPI (01) | GA |