Robinson, Raleigh Mixon
Robinson, Raleigh Mixon is an individual health care provider with primary practice located at 1765 Old West Broad St , Athens GA 30606-2853. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Robinson, Raleigh Mixon can be contacted via phone (706) 549-1663.Contact Information
Primary practice address
1765 Old West Broad St
Athens GA 30606-2853
Phone: (706) 549-1663
Fax: (706) 546-8792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 18726 | Georgia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 18726 | Georgia |
Profile Details
| NPI number | 1962484147 |
|---|---|
| LBN Legal business name | Robinson, Raleigh Mixon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Mar 11th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962484147 | NPPES |
| Other | 10611319 | CAQH NUMBER |
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