Healthcare Provider Details

I. General information

NPI: 1235489758
Provider Name (Legal Business Name): ROBBYN ELIZABETH CEASAR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2012
Last Update Date: 08/28/2023
Certification Date: 08/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 TALBOTTON RD
COLUMBUS GA
31904-8749
US

IV. Provider business mailing address

1130 TALBOTTON RD
COLUMBUS GA
31904-8749
US

V. Phone/Fax

Practice location:
  • Phone: 706-641-6900
  • Fax:
Mailing address:
  • Phone: 706-641-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN165331
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN165331
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: