Provider Demographics
NPI:1922168350
Name:ROBBINS, RICHARD SPECTOR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SPECTOR
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9024
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908-9024
Mailing Address - Country:US
Mailing Address - Phone:706-324-3325
Mailing Address - Fax:706-571-0578
Practice Address - Street 1:1905 7TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1563
Practice Address - Country:US
Practice Address - Phone:706-324-3325
Practice Address - Fax:706-571-0578
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA016417207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000013043DMedicaid
GA000013043DMedicaid
GA11SCHLFMedicare UPIN