Provider Demographics
NPI:1215617717
Name:ROBBINS, CHRISTOPHER PIERREE
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:PIERREE
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5398 E MOUNTAIN ST # A
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3079
Mailing Address - Country:US
Mailing Address - Phone:470-833-8397
Mailing Address - Fax:
Practice Address - Street 1:5398 E MOUNTAIN ST # A
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-3079
Practice Address - Country:US
Practice Address - Phone:470-833-8397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist