Healthcare Provider Details

I. General information

NPI: 1649199241
Provider Name (Legal Business Name): ROBERT HILL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3596 OLD MILTON PKWY
ALPHARETTA GA
30005-4465
US

IV. Provider business mailing address

250 PARK AVENUE WEST NW UNIT 204
ATLANTA GA
30313-1604
US

V. Phone/Fax

Practice location:
  • Phone: 404-312-2918
  • Fax:
Mailing address:
  • Phone: 404-312-2918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number19559059
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: