Provider Demographics
NPI:1891056123
Name:ROBINOWITZ, LEAH (DO, FACLM)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:ROBINOWITZ
Suffix:
Gender:F
Credentials:DO, FACLM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 JOHNSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2108
Mailing Address - Country:US
Mailing Address - Phone:770-579-7980
Mailing Address - Fax:770-579-7942
Practice Address - Street 1:1010 JOHNSON FERRY RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2108
Practice Address - Country:US
Practice Address - Phone:770-579-7980
Practice Address - Fax:770-579-7942
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO 3231207Q00000X
FLOS12642207Q00000X
GA90560207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine