Healthcare Provider Details

I. General information

NPI: 1295721231
Provider Name (Legal Business Name): HOWARD K ROBINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 JESSE JEWELL PKWY SE STE 200
GAINESVILLE GA
30501-3865
US

IV. Provider business mailing address

1250 JESSE JEWELL PKWY SE STE 200 ATTN: SANDRA LANCE
GAINESVILLE GA
30501-3865
US

V. Phone/Fax

Practice location:
  • Phone: 770-297-7277
  • Fax: 706-533-7641
Mailing address:
  • Phone: 770-297-7277
  • Fax: 770-533-7641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number44574
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number044574
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number44574
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: