Provider Demographics
NPI:1508982802
Name:ARMENIA, ROBIN R (DO)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:R
Last Name:ARMENIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3975A LAWRENCEVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-4513
Mailing Address - Country:US
Mailing Address - Phone:770-270-8112
Mailing Address - Fax:770-270-6841
Practice Address - Street 1:3975A LAWRENCEVILLE HWY
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4513
Practice Address - Country:US
Practice Address - Phone:770-270-8112
Practice Address - Fax:770-270-6841
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2023-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0358072083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511G700201Medicare PIN
GA511I840001Medicare UPIN
GA202I840870Medicare UPIN