Provider Demographics
NPI:1477541134
Name:ROBBINS, LAURIE LEIGH (MD)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:LEIGH
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574 CHURCH ST NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1358
Mailing Address - Country:US
Mailing Address - Phone:770-427-0285
Mailing Address - Fax:770-424-5037
Practice Address - Street 1:574 CHURCH ST NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1358
Practice Address - Country:US
Practice Address - Phone:770-427-0285
Practice Address - Fax:770-424-5037
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037661207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00743344AMedicaid
GA00743344AMedicaid
16BDDZJMedicare ID - Type Unspecified