Healthcare Provider Details

I. General information

NPI: 1053436246
Provider Name (Legal Business Name): ROBERT B. ALBEE JR., MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 09/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 HAMMOND DR NE BLDG F S-6220
ATLANTA GA
30328-5338
US

IV. Provider business mailing address

1140 HAMMOND DR NE BLDG F S-6220
ATLANTA GA
30328-5338
US

V. Phone/Fax

Practice location:
  • Phone: 770-913-0001
  • Fax:
Mailing address:
  • Phone: 770-913-0001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number17668
License Number StateGA

VIII. Authorized Official

Name: DR. ROBERT B ALBEE JR.
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 770-913-0001