Robinson, Ceronnie

Robinson, Ceronnie is an individual health care provider with primary practice located at 3290 Memorial Dr Ste B3 , Decatur GA 30032-3400. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Robinson, Ceronnie can be contacted via phone (404) 534-9692.

Contact Information

Primary practice address
3290 Memorial Dr Ste B3 Decatur GA 30032-3400
Phone: (404) 534-9692
Fax: (404) 534-9934
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001644 Georgia

Profile Details

NPI number 1720266398
LBN Legal business name Robinson, Ceronnie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated May 1st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720266398 NPPES
Georgia MEDICAID 100002158B
Georgia Other S86517
Georgia Other 97WCHJS

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