Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 4943 | GA |
NPI | 1871518357 |
---|---|
Provider Name | Dr. Vernice Reene Robinson |
First Address | Atlanta, GA 31119-1441 |
Second Address | Atlanta, GA 30315-5926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 17/12/2014 |