Provider Demographics
NPI:1497140792
Name:APPLEWHITE, ROBINE SHERRIE (CCHT)
Entity Type:Individual
Prefix:
First Name:ROBINE
Middle Name:SHERRIE
Last Name:APPLEWHITE
Suffix:
Gender:F
Credentials:CCHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 TWIN BROOKS CT SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-7864
Mailing Address - Country:US
Mailing Address - Phone:678-387-8583
Mailing Address - Fax:
Practice Address - Street 1:707 TWIN BROOKS CT SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-7864
Practice Address - Country:US
Practice Address - Phone:678-387-8583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0572317762472R0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2472R0900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherRenal Dialysis