| Robinwilde Integrated Medicine, Lllp | |
|
507 Watson Bay Stone Mountain GA 30087-6121 | |
| (678) 651-4022 | |
| Not Available |
| Full Name | Robinwilde Integrated Medicine, Lllp |
|---|---|
| Speciality | Psychologist |
| Location | 507 Watson Bay, Stone Mountain, Georgia |
| Authorized Official Name and Position | Ladeana Nicole Robinson (OWNER) |
| Authorized Official Contact | 4703647733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robinwilde Integrated Medicine, Lllp 507 Watson Bay Stone Mountain GA 30087-6121 Ph: (678) 651-4022 | Robinwilde Integrated Medicine, Lllp 507 Watson Bay Stone Mountain GA 30087-6121 Ph: (678) 651-4022 |
| NPI Number | 1821688706 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821688706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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