Healthcare Provider Details

I. General information

NPI: 1588543961
Provider Name (Legal Business Name): MRS. WENDY HUGHES ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 PRINCE AVE
ATHENS GA
30606-2797
US

IV. Provider business mailing address

421 HANLEY RD
HULL GA
30646-1728
US

V. Phone/Fax

Practice location:
  • Phone: 706-247-9870
  • Fax: 706-247-9870
Mailing address:
  • Phone: 706-247-9870
  • Fax: 706-247-9870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN105441
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: