Healthcare Provider Details

I. General information

NPI: 1871518357
Provider Name (Legal Business Name): VERNICE REENE ROBINSON DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 12/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2085 METROPOLITAN PKWY SW
ATLANTA GA
30315-5926
US

IV. Provider business mailing address

PO BOX 191441
ATLANTA GA
31119-1441
US

V. Phone/Fax

Practice location:
  • Phone: 404-505-7500
  • Fax: 404-505-1238
Mailing address:
  • Phone: 404-505-7500
  • Fax: 404-846-5561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number4943
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: