Provider Demographics
NPI:1780196386
Name:DELGADO, ROBIN ANTOINETTE
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:ANTOINETTE
Last Name:DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 ROSWELL RD UNIT 109
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-4836
Mailing Address - Country:US
Mailing Address - Phone:404-451-3603
Mailing Address - Fax:
Practice Address - Street 1:1155 MOUNT VERNON HWY STE 440
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-5441
Practice Address - Country:US
Practice Address - Phone:404-451-4603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-04
Last Update Date:2017-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier