Provider Demographics
NPI:1154447506
Name:JUNE, ROBIN (DC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:JUNE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901B PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE 485
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5382
Mailing Address - Country:US
Mailing Address - Phone:770-394-7074
Mailing Address - Fax:770-394-0202
Practice Address - Street 1:5901B PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE 485
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5382
Practice Address - Country:US
Practice Address - Phone:770-394-7074
Practice Address - Fax:770-394-0202
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR00529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCFQTMedicare ID - Type UnspecifiedNON PARTICIPATING PRO.