Provider Demographics
NPI:1003883794
Name:ROBBINS, ANGELA BARGER (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:BARGER
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 CANTON RD NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7271
Mailing Address - Country:US
Mailing Address - Phone:770-428-4486
Mailing Address - Fax:770-425-6008
Practice Address - Street 1:702 CANTON RD NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7271
Practice Address - Country:US
Practice Address - Phone:770-428-4486
Practice Address - Fax:770-425-6008
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA019762174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00244252DMedicaid
GA00244252DMedicaid