Provider Demographics
NPI:1437125051
Name:CARY, ROBIN LEIGH (P A - C)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LEIGH
Last Name:CARY
Suffix:
Gender:F
Credentials:P A - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 JESSE HILL JR DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-2613
Mailing Address - Country:US
Mailing Address - Phone:404-616-8664
Mailing Address - Fax:
Practice Address - Street 1:80 JESSE HILL JR DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-2613
Practice Address - Country:US
Practice Address - Phone:404-616-8664
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001537363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical