Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 002204 | GA |
NPI | 1003086166 |
---|---|
Provider Name | Dr. Robin Lowman White |
First Address | Fayetteville, GA 30214-4526 |
Second Address | Fayetteville, GA 30214-4526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2008 |
Last Update Date | 19/04/2017 |