MEDICARE: ROBBY GEORGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RPH029283	GA

General Provider Information

NPI Number	:	1609474402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBBY GEORGE

Provider Business Mailing Address
First Line	:	1324 CRESENT CIR SW
Second Line	:
City	:	LILBURN
State	:	GA
Zip	:	30047-2304
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1227 ROCKBRIDGE RD
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-3064
Country	:	US
Telephone Number	:	770-225-1888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2020
Last Update Date	:	05/07/2026

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Directions to “ ROBBY GEORGE ” Practice Location

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