Provider Demographics
NPI:1922130657
Name:ROBBINS, ANDREA K (DC, ND)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:K
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:DC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 ALLEN RD NE
Mailing Address - Street 2:SUITE D
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4842
Mailing Address - Country:US
Mailing Address - Phone:404-843-0880
Mailing Address - Fax:404-843-6445
Practice Address - Street 1:130 ALLEN RD NE
Practice Address - Street 2:SUITE D
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4842
Practice Address - Country:US
Practice Address - Phone:404-843-0880
Practice Address - Fax:404-843-6445
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T68557Medicare UPIN
35ZCJCHMedicare ID - Type Unspecified